Abstract
Actinomycosis of the skull and/or the vertebral colum is extremely rare in previously healthy children and its diagnosis is difficult. A case is reported here involving the occipital bone and the atlas. The disease had started 4 years before diagnosis and presented as a neurosurgical affection in a 13-year-oldgirl. The disease spread towards the retropharyngeal space and probably disseminated to the liver and the lung. Actinomyces israeli grew from cultures. Antibiotic treatment was successful.
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Baize G, Cals D, Casin I, Lamarche M, Laufer J, Ortenberg M, Roulaud JP, Texier J, Tournaire J, Velu M (1981) Cing cas d'actinomycose cervicofaciale. Rev Stomatol Chir Maxillofac 82:333–338
Bolton CF, Ashenhurst EM (1964) Actinomycosis of the brain. Case report and review of the literature. Canad med Ass J 90:922–928
Brion N, Bertail MA, Denis C, Auffret N, Civatte J (1981) Actinomycose disséminée à expression cutanée. Ann Med Interne 132:328–332
Brown JR (1973) Human actinomycosis. A study of 181 subjects. Hum Pathol 4: 319–330
Casin I, Perol Y (1982) Actinomycose cervico-faciale. Actual Odontostomatol 138: 171–178
Cope VS (1951) Actinomycosis of bone with special reference to infection of the vertebral column. J Bone Joint Surg 33 B: 205–214
Goodman AD (1977) Eikenella corrodens isolated in oral infections of dental origin. OS, OM, OP: 44:128–134
Hutton RM, Behrens RH (1979) Actinomyces Odontolyticus as a cause of brain abscess. J Infection 1:195–197
Kirsch WM, Stears JC (1970) Actinomycotic ostcomyelitis of the skull and epidural space. J Neurosurg 33:347–351
Lane T, Goings S, Frase DW, Ries K, Pettrozzi J, Abrutyn E (1979) Disseminated actinomycosis with spinal cord compression: report of two cases. Neurology 29:890–893
Larsen J, Bottone EJ, Dikman S, Saphir R (1978) Cervicofacial Actinomyces viscosus infection. J Pediatr 93:797–801
Legum LL, Greer KE, Glessner SF (1978) Disseminated actinomycosis. South Med J 71:463–465
Nathan MH, Radman WP, Barton HL (1962) Osseous actinomycosis of the head and neck. Am J Roenth 87:1048–1053
Slots J, Reynolds HS, Genco RJ (1980) Actinobacillus actinomycetemcomitans in human periodental disease: a cross-sectional microbiological investigation. Infect Immun 29:1013–1020
Spinola SM, Bell RA, Henderson FW (1981) Actinomycosis. A cause of pulmonary and mediastinal mass lesions in children. Am J Dis Child 135:336–339
Stanley TV (1980) Deep actinomycosis in childhood. Acta Pediatr Scand 69:173–176
Weese WC, Smith JM (1975) A study of 57 cases of actinomycosis over a 36 year period. Arch Intern Med 135:1562–1568
Wickbom GL, Davidson AJ (1967) Angiographic findings in intra-cranial actinomycosis. A case report and consideration of pathogenesis. Radiology 88:536–537
Young WB (1960) Actinomycosis of the vertebral column: case report and review of the literature. Clin Radiol 11:175
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Vannier, J.P., Schaison, G., George, B. et al. Actinomycotic osteomyelitis of the skull and atlas with late dissemination. Eur J Pediatr 145, 316–318 (1986). https://doi.org/10.1007/BF00439411
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DOI: https://doi.org/10.1007/BF00439411