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A de-escalated treatment strategy in the management of paediatric cervicofacial actinomycosis
  1. Justin Jui Yuan Yeo1,2,
  2. Michael Edward Hopkins3 and
  3. Aidah Isa4
  1. 1ENT/Otolaryngology, NHS Lothian, Edinburgh, Scotland, UK
  2. 2ENT/Otolaryngology, NHS Highland, Inverness, Scotland, UK
  3. 3ENT Department, NHS Lothian, Edinburgh, Edinburgh, UK
  4. 4ENT Department Raigmore Hospital, NHS Highland, Inverness, Highland, UK
  1. Correspondence to Dr Justin Jui Yuan Yeo; justinjuiyuanyeo{at}


Actinomycosis is a rare invasive bacterial disease that is characterised by granulomatous inflammation often mistaken as malignancy. Traditionally, this has been managed with prolonged courses of antibiotics with durations up to 6–12 months. Surgical intervention as an adjuvant treatment has been shown to reduce the length of antibiotic treatment significantly to 4 weeks. We report a case of cervicofacial actinomycosis in a 12-year-old girl who was adequately treated with an 11-day course of antibiotics without surgical intervention and shows no signs of recurrence at 6 months post-treatment.

  • ear
  • nose and throat/otolaryngology
  • paediatrics

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  • Contributors JY - designed, analysed and interpreted data. Drafted case report. MH - analysed and interpreted data. Revising draft critically. AI - final approval of the published version. Revising draft critically.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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