Fishbone-Associated Actinomycosis of the Anterior Cervical Space: A Diagnostic Dilemma

We report the imaging and pathologic findings of fishbone-associated actinomycosis of the anterior cervical space in a 57-year-old man, misdiagnosed preoperatively as a malignancy originating from thyroglossal duct cyst. CT revealed an enhancing mass containing a small abscess pocket and two sharp l...

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Main Authors: Sang Kwon Lee, Mi Jeong Kim, Sun Young Kwon
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2010/282167
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author Sang Kwon Lee
Mi Jeong Kim
Sun Young Kwon
author_facet Sang Kwon Lee
Mi Jeong Kim
Sun Young Kwon
author_sort Sang Kwon Lee
collection DOAJ
description We report the imaging and pathologic findings of fishbone-associated actinomycosis of the anterior cervical space in a 57-year-old man, misdiagnosed preoperatively as a malignancy originating from thyroglossal duct cyst. CT revealed an enhancing mass containing a small abscess pocket and two sharp linear calcifications within it, which infiltrated into the strap muscle. Pathologic examination demonstrated two fishbones within the actinomycotic abscess. Fishbone-associated actinomycosis should be considered when a cervical mass contains sharp linear calcifications.
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spelling doaj-art-9660ee75b3e24796a823c5bacb0cc7632025-02-03T01:03:32ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/282167282167Fishbone-Associated Actinomycosis of the Anterior Cervical Space: A Diagnostic DilemmaSang Kwon Lee0Mi Jeong Kim1Sun Young Kwon2Department of Radiology, Dongsan Medical Center, Keimyung University School of Medicine, Daegu 700-712, Republic of KoreaDepartment of Radiology, Dongsan Medical Center, Keimyung University School of Medicine, Daegu 700-712, Republic of KoreaDepartment of Pathology, Dongsan Medical Center, Keimyung University School of Medicine, Daegu 700-712, Republic of KoreaWe report the imaging and pathologic findings of fishbone-associated actinomycosis of the anterior cervical space in a 57-year-old man, misdiagnosed preoperatively as a malignancy originating from thyroglossal duct cyst. CT revealed an enhancing mass containing a small abscess pocket and two sharp linear calcifications within it, which infiltrated into the strap muscle. Pathologic examination demonstrated two fishbones within the actinomycotic abscess. Fishbone-associated actinomycosis should be considered when a cervical mass contains sharp linear calcifications.http://dx.doi.org/10.1155/2010/282167
spellingShingle Sang Kwon Lee
Mi Jeong Kim
Sun Young Kwon
Fishbone-Associated Actinomycosis of the Anterior Cervical Space: A Diagnostic Dilemma
Case Reports in Medicine
title Fishbone-Associated Actinomycosis of the Anterior Cervical Space: A Diagnostic Dilemma
title_full Fishbone-Associated Actinomycosis of the Anterior Cervical Space: A Diagnostic Dilemma
title_fullStr Fishbone-Associated Actinomycosis of the Anterior Cervical Space: A Diagnostic Dilemma
title_full_unstemmed Fishbone-Associated Actinomycosis of the Anterior Cervical Space: A Diagnostic Dilemma
title_short Fishbone-Associated Actinomycosis of the Anterior Cervical Space: A Diagnostic Dilemma
title_sort fishbone associated actinomycosis of the anterior cervical space a diagnostic dilemma
url http://dx.doi.org/10.1155/2010/282167
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AT mijeongkim fishboneassociatedactinomycosisoftheanteriorcervicalspaceadiagnosticdilemma
AT sunyoungkwon fishboneassociatedactinomycosisoftheanteriorcervicalspaceadiagnosticdilemma