軟口蓋に生じた放線菌症例

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  • A Case of Actinomycosis of the Soft Palate
  • ナンコウガイ ニ ショウジタ ホウセンキン ショウレイ

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Actinomycosis is a chronic suppurative granulomatous infection caused by the Actinomyces genus comprising filamentous and gram-positive bacteria that can cause chronic inflammatory granulomas. Actinomyces genus are bacteria resident in tooth sockets or the tonsils. Therefore actinomycosis occurs most commonly in the head and neck region, and in the other cases occurs in the chest and the abdomen.<br>We report herein on a case of a 66-year-old woman who was diagnosed as having actinomycosis involving the soft palate based on data reported hereunder. Her main complaint was a sore throat. We found a mass-related lesion with a white moss-like substance to the right side of the soft palate. Based on the biopsy findings revealed the histological diagnosis was actinomycosis. We gave her amoxicillin for three weeks, and she was cured. In the six months to time of writing, no recurrence has been noted.<br>Actinomycosis is an inflammatory mass-forming disease, and diagnosis is difficult when based only on the clinical evidence.

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