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Vol. 56. Issue 5.
Pages 222-225 (May 2005)
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Vol. 56. Issue 5.
Pages 222-225 (May 2005)
Actinomicosis de base de lengua
Base tongue actinomycosis
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M.T. Lahoz Zamarroa, M. Laguía Pérez
Servicio de ORL
J.A. Muniesa Soriano*, G. Martínez Sanz**
* Servicio de Anatomía Patológica
** Servicio de Radiología. Hospital Obispo Polanco. Teruel
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Resumen

La actinomicosis es una infección bacteriana, crónica y supurativa causada por Actinomyces israelii. La afectación lingual es rara, y sólo el 3% afectan la base de la lengua. Presentamos una paciente con disfagia por una masa en la base de la lengua, vallécula y cara lingual de epiglotis. Llegamos al diagnóstico mediante examen histológico de la biopsia realizada. La paciente curó tras incisión y drenaje del absceso y un mes de tratamiento con amoxicilina oral. Cinco años más tarde volvió a presentar el mismo cuadro, siendo necesario un segundo procedimiento quirúrgico y un año de tratamiento antibiótico. Comentamos las posibles causas de esta recidiva.

Palabras clave:
Actinomicosis
Lengua
Epiglotis
Abstract

Actinomycosis is a bacterial, suppurative chronic infectious disease caused by Actinomyces israelii. Actinomycosis of the tongue is an uncommon form, and only 3% affect the base of the tongue. We report a case with dysphagia from an epiglottis, vallecula and tongue base mass. Diagnosis was made on histologic examination of a tissue biopsy. The disease completely resolved after chirurgical incision and drainage of the abscess and one month of oral amoxicillin therapy. The recurrence of the disease, five years later, made necessary a second surgical procedure and one year of penicillin therapy. We comment the possible causes of this recurrence.

Key words:
Actinomycosis
Tongue
Epiglottis

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