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Tonsillektomi Materyallerinde Aktinomiçes

Year 2020, , 260 - 263, 29.10.2020
https://doi.org/10.30565/medalanya.791230

Abstract

Amaç: Tonsillektomi çocuk yaş grubunda en sık yapılan ameliyatlardan birisidir. Actinomiçes türleri Gram-pozitif, spor oluşturmayan fakültatif anaerobik bakterilerdir. Aktinomikoz, subakuttan kronik enfeksiyona kadar apse oluşumu ile karakterize bir hastalıktır.

Gereç ve Yöntemler: Ocak 2016 - Ocak 2019 tarihleri arasında Alanya Alaaddin Keykubat Üniversitesi Eğitim ve Araştırma Hastanesinde tonsillektomi uygulanan 185 hastanın tonsillektomi materyalleri ile çalıştık.

Bulgular: Tonsillektomi yapılan 98 (% 53) erkek ve 87 (% 47) kadın 185 hasta çalışmaya dahil edildi. Ortalama yaş 12.6 (dağılım 3-56) idi. Toplam 64 hastada Actinomiçes varlığı gösterildi.

Sonuç: Actinomyces türleri bademcik dokusu florasında fırsatçı enfeksiyona neden olan bakterilerdir. Tonsiller Aktinomikoz kolonizasyonu yetişkinlerde ve büyük çocuklarda daha yaygındır.

References

  • 1. Baugh RF, Archer SM, Mitchell RB et al. Clinical practice guideline: Tonsillectomy in children. Otolaryngol Head Neck Surg 2011; 144: 1-30. PMID: 21493257 DOI: 10.1177/0194599810389949
  • 2. Smith MM, Peterson E, Yaremchuk KL. The role of tonsillectomy in adults with tonsillar hypertrophy and obstructive sleep apnea. Otolaryngol Head Neck Surg 2017; 157: 331-5 PMID: 28349770 DOI: 10.1177/0194599817698671
  • 3. Hasan M, Kumar A. Actinomycosis and tonsillar disease. BMC Case Rep 2011. PMID: 22696708 DOI: 10.1136/bcr.01.2011.3750
  • 4. Gaffney R, Harrison M, Walsh M, Sweeney E, Cafferkey M. The incidence and role of actinomyces in recurrent acute tonsillitis. Clin Otolaryngol Allied Sci 1993 ;18:268 – 71. PMID: 8877183 DOI: 10.1111/j.1365-2273.1993.tb00845.x
  • 5. Ozgursoy OB, Kemal O, Saatci MR, Tulunay O. Actinomycosis in the etiology of recurrent tonsillitis and obstructive tonsillar hypertrophy: answer from a histopathologic point of view. J Otolaryngol Head Neck Surg 2008; 37: 865-9. PMID: 19128718
  • 6. Van Lierop AC, Prescott CA, Sinclair-Smith CC. An investigation of the significance of actinomycosis in tonsil disease. Int J Pediatr Otorhinolaryngol 2007; 71: 1883-8. PMID: 17919741 DOI: 10.1016/j.ijporl.2007.08.021
  • 7. Belmont M J, Behar P M, Wax M K. Atypical Presentation of Actinomycosis. Head Neck 1999;21:264-8. PMID: 10208670 DOI: 10.1002/(sici)1097-0347(199905)21:3<264::aid-hed12>3.0.co;2-y
  • 8. Mohanty S. Actinomycosis of faucial tonsil masquerading as oropharyngeal malignancy. Indian J Otolaryngol Head Neck Surg 2006;58:82 – 4. doi: 10.1007/BF02907750 PMCID: PMC3450608 PMID: 23120246
  • 9. Yadav SP, Chanda R, Gathwala G, Yadav RK. Actinomycosis of tonsil masquerading as tumour in a 12-year old child. Int J Pediatr Otorhinolaryngol 2002;63:73–5. PMID: 11879933 DOI: 10.1016/s0165-5876(01)00647-4
  • 10. Acevedo F, Baudrand R, Letelier LM, Gaete P. Actinomycosis: a great pretender. Case reports of unusual presentations and a review of the literature. Int J Infect Dis 2008; 12: 358-62 PMID: 18164641 DOI: 10.1016/j.ijid.2007.10.006
  • 11. Choi MM, Baek JH, Lee JN, Park S, Lee WS. Clinical features of abdominopelvic actinomycosis: report of twenty cases and literature review. Yonsei Med J 2009; 50: 555-9. PMID: 19718405 PMCID: PMC2730619 DOI: 10.3349/ymj.2009.50.4.555
  • 12. Garner JP, Macdonald M, Kumar PK. Abdominal actinomycosis. Int J Surg 2007; 5: 441-8. PMID: 18078685 DOI: 10.1016/j.ijsu.2006.06.009
  • 13. Riffat F, Walker P. Prevalence of tonsillar actinomyces in children undergoing tonsillectomy for sleep disordered breathing compared with recurrent tonsillitis. Int J Pediatr Otorhinolaryngol 2009; 73: 1111-3. PMID: 19447506 DOI: 10.1016/j.ijporl.2009.04.015
  • 14. Toh ST, Yuen HW, Goh YH. Actinomycetes colonization of tonsils: a comparative study between patients with and without recurrent tonsillitis. J laryngol Otol 2007; 121: 775-8. PMID: 17040606 DOI: 10.1017/S0022215106003185
  • 15. Aydin A, Erkiliç S, Beyazit YA, Koçer NE, Ozer E, Kanlikama M. Relation between actinomycosis and histopathological and clinical features of the palatine tonsils: a comparative study between adults and pediatric patients. Rev Laryngol Otol Rhinol (Bord) 2005; 126: 95-8. PMID: 16180348
  • 16. Melgarejo Moreno P, Hellin Meseguer, Marco Garrido A, Galindo Ortego X, Ruiz Macia JA, Hostalet F. A correlation between age and actinomyces in the adenotonsillar tissue of children. B-ENT2006; 2:95-7. PMID: 16910294
  • 17. San T, Gürkan E, Erdoğan B, Özkanlı Ş. Does actinomyces have any role in tonsiller diseases in children? İstanbul Med J 2014;15:209-12 DOI: 10.5152/imj.2014.93798
  • 18. Bhargava D, Bhusnurmath B, Sundaram KR et al. Tonsillar actinomycosis: a clinicopathological study. Acta Trop 2001; 80: 163-8.. https://doi.org/10.1016/S0001-706X(01)00172-3
  • 19. Pransky SM, Feldman JI, Kearns DB, Seid AB, Billman GF.Actinomycosis in obstructive tonsillar hypertrophy and recurrent tonsillitis. Arch Otolaryngol Head Neck Surg 1991; 117: 883-5 PMID: 1892620 DOI: 10.1001/archotol.1991.01870200077012

Actinomyces in Tonsillectomy Materials

Year 2020, , 260 - 263, 29.10.2020
https://doi.org/10.30565/medalanya.791230

Abstract

Aim: Tonsillectomy is one of the most common surgeries in the pediatric age group. Actinomyces species are Gram-positive, non-spore-forming facultative anaerobic bacteria. Actinomycosis is a disease characterized by abscess formation, ranging from subacute to chronic infection.

Materials and methods: We studied with the tonsillectomy materials of 185 patients who underwent tonsillectomy in our clinic between January 2016 and January 2019.

Results: A total of 185 patients, 98 (53%) males and 87 (47%) females, who underwent tonsillectomy were included in the study. The mean age was 12.6 (range, 3-56) years. A total of 64 patients showed the presence of Actinomyces.

Conclusion: Actinomyces species are bacteria found in the tonsil tissue flora that cause opportunistic infection. Tonsillar Actinomyces colonization is more common in adults and in older children.

References

  • 1. Baugh RF, Archer SM, Mitchell RB et al. Clinical practice guideline: Tonsillectomy in children. Otolaryngol Head Neck Surg 2011; 144: 1-30. PMID: 21493257 DOI: 10.1177/0194599810389949
  • 2. Smith MM, Peterson E, Yaremchuk KL. The role of tonsillectomy in adults with tonsillar hypertrophy and obstructive sleep apnea. Otolaryngol Head Neck Surg 2017; 157: 331-5 PMID: 28349770 DOI: 10.1177/0194599817698671
  • 3. Hasan M, Kumar A. Actinomycosis and tonsillar disease. BMC Case Rep 2011. PMID: 22696708 DOI: 10.1136/bcr.01.2011.3750
  • 4. Gaffney R, Harrison M, Walsh M, Sweeney E, Cafferkey M. The incidence and role of actinomyces in recurrent acute tonsillitis. Clin Otolaryngol Allied Sci 1993 ;18:268 – 71. PMID: 8877183 DOI: 10.1111/j.1365-2273.1993.tb00845.x
  • 5. Ozgursoy OB, Kemal O, Saatci MR, Tulunay O. Actinomycosis in the etiology of recurrent tonsillitis and obstructive tonsillar hypertrophy: answer from a histopathologic point of view. J Otolaryngol Head Neck Surg 2008; 37: 865-9. PMID: 19128718
  • 6. Van Lierop AC, Prescott CA, Sinclair-Smith CC. An investigation of the significance of actinomycosis in tonsil disease. Int J Pediatr Otorhinolaryngol 2007; 71: 1883-8. PMID: 17919741 DOI: 10.1016/j.ijporl.2007.08.021
  • 7. Belmont M J, Behar P M, Wax M K. Atypical Presentation of Actinomycosis. Head Neck 1999;21:264-8. PMID: 10208670 DOI: 10.1002/(sici)1097-0347(199905)21:3<264::aid-hed12>3.0.co;2-y
  • 8. Mohanty S. Actinomycosis of faucial tonsil masquerading as oropharyngeal malignancy. Indian J Otolaryngol Head Neck Surg 2006;58:82 – 4. doi: 10.1007/BF02907750 PMCID: PMC3450608 PMID: 23120246
  • 9. Yadav SP, Chanda R, Gathwala G, Yadav RK. Actinomycosis of tonsil masquerading as tumour in a 12-year old child. Int J Pediatr Otorhinolaryngol 2002;63:73–5. PMID: 11879933 DOI: 10.1016/s0165-5876(01)00647-4
  • 10. Acevedo F, Baudrand R, Letelier LM, Gaete P. Actinomycosis: a great pretender. Case reports of unusual presentations and a review of the literature. Int J Infect Dis 2008; 12: 358-62 PMID: 18164641 DOI: 10.1016/j.ijid.2007.10.006
  • 11. Choi MM, Baek JH, Lee JN, Park S, Lee WS. Clinical features of abdominopelvic actinomycosis: report of twenty cases and literature review. Yonsei Med J 2009; 50: 555-9. PMID: 19718405 PMCID: PMC2730619 DOI: 10.3349/ymj.2009.50.4.555
  • 12. Garner JP, Macdonald M, Kumar PK. Abdominal actinomycosis. Int J Surg 2007; 5: 441-8. PMID: 18078685 DOI: 10.1016/j.ijsu.2006.06.009
  • 13. Riffat F, Walker P. Prevalence of tonsillar actinomyces in children undergoing tonsillectomy for sleep disordered breathing compared with recurrent tonsillitis. Int J Pediatr Otorhinolaryngol 2009; 73: 1111-3. PMID: 19447506 DOI: 10.1016/j.ijporl.2009.04.015
  • 14. Toh ST, Yuen HW, Goh YH. Actinomycetes colonization of tonsils: a comparative study between patients with and without recurrent tonsillitis. J laryngol Otol 2007; 121: 775-8. PMID: 17040606 DOI: 10.1017/S0022215106003185
  • 15. Aydin A, Erkiliç S, Beyazit YA, Koçer NE, Ozer E, Kanlikama M. Relation between actinomycosis and histopathological and clinical features of the palatine tonsils: a comparative study between adults and pediatric patients. Rev Laryngol Otol Rhinol (Bord) 2005; 126: 95-8. PMID: 16180348
  • 16. Melgarejo Moreno P, Hellin Meseguer, Marco Garrido A, Galindo Ortego X, Ruiz Macia JA, Hostalet F. A correlation between age and actinomyces in the adenotonsillar tissue of children. B-ENT2006; 2:95-7. PMID: 16910294
  • 17. San T, Gürkan E, Erdoğan B, Özkanlı Ş. Does actinomyces have any role in tonsiller diseases in children? İstanbul Med J 2014;15:209-12 DOI: 10.5152/imj.2014.93798
  • 18. Bhargava D, Bhusnurmath B, Sundaram KR et al. Tonsillar actinomycosis: a clinicopathological study. Acta Trop 2001; 80: 163-8.. https://doi.org/10.1016/S0001-706X(01)00172-3
  • 19. Pransky SM, Feldman JI, Kearns DB, Seid AB, Billman GF.Actinomycosis in obstructive tonsillar hypertrophy and recurrent tonsillitis. Arch Otolaryngol Head Neck Surg 1991; 117: 883-5 PMID: 1892620 DOI: 10.1001/archotol.1991.01870200077012
There are 19 citations in total.

Details

Primary Language English
Subjects Surgery
Journal Section Research Article
Authors

Özlem Ceren Günizi 0000-0002-7601-1836

Hüseyin Günizi 0000-0001-8653-0544

Publication Date October 29, 2020
Submission Date September 6, 2020
Acceptance Date September 13, 2020
Published in Issue Year 2020

Cite

Vancouver Günizi ÖC, Günizi H. Actinomyces in Tonsillectomy Materials. Acta Med. Alanya. 2020;4(3):260-3.

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