Wong et al listed a number of “warning signs” indicating the presence of actinomycosis. The authors are from Queen’s Medical Centre in Nottingham and Addenbrooke’s Hospital at Cambridge in England.
Actinomycosis is typically associated with:
(1) a chronic condition with indolent clinical course
(2) the presence of a mass-like effect
(3) the presence of sinus tracts that may resolve and recur
(4) dissection through various tissue planes
(5) a history of intermittent courses of antibiotics and persistent infection
Actinomycosis should be included in the differential diagnosis of any chronic infection or mass lesion.
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