International Journal of Pediatric Otorhinolaryngology Extra
Volume 3, Issue 1 , Pages 20-23 , January 2008

Third branchial cleft fistula infected with Actinomyces

  • Kay W. Chang

      Affiliations

    • Stanford University School of Medicine, Department of Otolaryngology - Head and Neck Surgery, 801 Welch Road, Stanford, CA 94305, United States
    • Corresponding Author InformationCorresponding author. Tel.: +1 650 736 1314; fax: +1 650 498 2734.
    • ,
  • Brian G. Lee

      Affiliations

    • Keck School of Medicine, University of Southern California, LAC USC Medical Center, Department of Otolaryngology, General Hospital 4136, 1937 Hospital Place, Los Angeles, CA 90031, United States
    • ,
  • Kathleen M. Gutierrez

      Affiliations

    • Stanford University School of Medicine, Division of Pediatric Infectious Disease, 300 Pasteur Drive Rm G312, Stanford, CA 94305, United States
    • Tel.: +1 650 723 5682; fax: +1 650 725 8040.

Received 2 August 2007 ,Revised 25 August 2007 ,Accepted 28 August 2007.

  • Image Result

    Pre-treatment, axial, T1 weighted, post-gadolinium contrast MRI scans showing the fistula tract. The thick arrow shows the tract coursing towards the external ostium. The thin arrow shows the tract as

    Pre-treatment, axial, T1 weighted, post-gadolinium contrast MRI scans showing the fistula tract. The thick arrow shows the tract coursing towards the external ostium. The thin arrow shows the tract as it heads towards the left piriform sinus.

  • Image Result
    Histologic section from the surgical specimen. Actinomycosis is characterized by a mixed suppurative and granulomatous inflammatory reaction, connective tissue proliferation, and the presence of sulfu

    Histologic section from the surgical specimen. Actinomycosis is characterized by a mixed suppurative and granulomatous inflammatory reaction, connective tissue proliferation, and the presence of sulfur granules. The sulfur granules are practically pathognomonic for this infection. Low power view of a hematoxylin-eosin stained sulfur granule.

PII: S1871-4048(07)00071-8

doi: 10.1016/j.pedex.2007.08.007

International Journal of Pediatric Otorhinolaryngology Extra
Volume 3, Issue 1 , Pages 20-23 , January 2008

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