HNO.80460354.ger.abstr-passage-0
abstract
Die zervikofaziale Aktinomykose ist eine seltene Infektionskrankheit im Kopf-Hals-Bereich ; sie tritt in der Regel nach Verletzungen oder operativen Eingriffe im Mundraum auf . Die typischen Entzuendungszeichen wie Roetung , Ueberwaermung , Fistelbildung und Schmerzhaftigkeit koennen fehlen , so dass die Aktinomykose als seltene Differentialdiagnose eines Parotismalignoms in Betracht zu ziehen ist . In dem hier beschriebenen Fall trat bei einem 65jaehrigen Patienten 4 Monate vor Aufnahme eine progrediente Schwellung rechts infraaurikulaer auf . Der zunaechst klinisch und radiologisch geaeusserte Verdacht auf das Vorliegen eines Malignom der Glandula parotis aufgrund einer schmerzlosen , progredienten , Raumforderung mit Kieferklemme und Infiltration des Unterkiefers bestaetigte sich nicht . Histologisch fanden sich in der Probebiopsie die typischen Strahlenpilzdrusen einer Mischinfektion mit Aktinomyzeten . Neben einer antibakteriellen Chemotherapie mit Amoxicillin und Sulbactam erfolgte die Resektion des osteomyelitischen Bezirks im Unterkiefer . Nach Abklingen der Infektion fuehrten wir eine Rezidivprophylaxe mit Clindamycin oral ueber 6 Wochen durch . Auch 2 Jahre nach Therapiebeginn ist der Patient rezidivfrei .
HNO.80460354.ger.abstr-s1-r1-t3.1-t2.1
location_of
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s1-r2-t3.1-t7.1
location_of
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s1-t7
HNO.80460354.ger.abstr-s1-r3-t7.1-t5.2
result_of
HNO.80460354.ger.abstr-s1-t7
HNO.80460354.ger.abstr-s1-t5
HNO.80460354.ger.abstr-s1-r4-t1.1-t5.2
result_of
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s1-t5
HNO.80460354.ger.abstr-s1-r5-t3.1-t1.1
location_of
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s1-r6-t3.1-t5.2
location_of
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s1-t5
HNO.80460354.ger.abstr-s1-r7-t4.1-t2.1
location_of
HNO.80460354.ger.abstr-s6-t4
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s1-r8-t2.1-t5.2
result_of
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s1-t5
HNO.80460354.ger.abstr-s1-r9-t4.1-t7.1
location_of
HNO.80460354.ger.abstr-s6-t4
HNO.80460354.ger.abstr-s1-t7
HNO.80460354.ger.abstr-s1-r10-t7.1-t5.1
result_of
HNO.80460354.ger.abstr-s1-t7
HNO.80460354.ger.abstr-s4-t5
HNO.80460354.ger.abstr-s1-r11-t4.1-t5.2
location_of
HNO.80460354.ger.abstr-s6-t4
HNO.80460354.ger.abstr-s1-t5
HNO.80460354.ger.abstr-s1-r12-t1.1-t5.1
result_of
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s4-t5
HNO.80460354.ger.abstr-s1-r13-t4.1-t1.1
location_of
HNO.80460354.ger.abstr-s6-t4
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s1-r14-t5.1-t2.1
location_of
HNO.80460354.ger.abstr-s4-t5
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s1-r15-t3.1-t5.1
location_of
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s4-t5
HNO.80460354.ger.abstr-s1-r16-t5.1-t7.1
location_of
HNO.80460354.ger.abstr-s4-t5
HNO.80460354.ger.abstr-s1-t7
HNO.80460354.ger.abstr-s1-r17-t2.1-t5.1
result_of
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s4-t5
HNO.80460354.ger.abstr-s1-r18-t5.1-t1.1
location_of
HNO.80460354.ger.abstr-s4-t5
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s1-r19-t5.1-t5.2
location_of
HNO.80460354.ger.abstr-s4-t5
HNO.80460354.ger.abstr-s1-t5
HNO.80460354.ger.abstr-s1-r20-t4.1-t5.1
location_of
HNO.80460354.ger.abstr-s6-t4
HNO.80460354.ger.abstr-s4-t5
HNO.80460354.ger.abstr-s2-r1-t4.1-t2.1
associated_with
HNO.80460354.ger.abstr-s6-t4
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s2-r2-t4.1-t1.1
associated_with
HNO.80460354.ger.abstr-s6-t4
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s2-r3-t2.1-t4.1
associated_with
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s6-t4
HNO.80460354.ger.abstr-s2-r4-t3.1-t1.1
degree_of
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s2-r5-t5.1-t4.1
location_of
HNO.80460354.ger.abstr-s4-t5
HNO.80460354.ger.abstr-s6-t4
HNO.80460354.ger.abstr-s2-r6-t2.1-t3.1
result_of
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s2-r7-t2.1-t1.1
associated_with
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s2-r8-t1.1-t2.1
result_of
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s2-r9-t1.1-t3.1
degree_of
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s2-r10-t5.1-t3.1
location_of
HNO.80460354.ger.abstr-s4-t5
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s2-r11-t3.1-t4.1
associated_with
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s6-t4
HNO.80460354.ger.abstr-s2-r12-t2.1-t3.1
degree_of
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s2-r13-t5.1-t2.1
location_of
HNO.80460354.ger.abstr-s4-t5
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s2-r14-t3.1-t2.1
result_of
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s2-r15-t3.1-t1.1
associated_with
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s2-r16-t2.1-t1.1
result_of
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s2-r17-t5.1-t1.1
location_of
HNO.80460354.ger.abstr-s4-t5
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s2-r18-t1.1-t4.1
associated_with
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s6-t4
HNO.80460354.ger.abstr-s2-r19-t1.1-t3.1
associated_with
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s2-r20-t1.1-t2.1
associated_with
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s2-r21-t4.1-t3.1
associated_with
HNO.80460354.ger.abstr-s6-t4
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s2-r22-t3.1-t2.1
degree_of
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s4-r1-t4.1-t3.1
location_of
HNO.80460354.ger.abstr-s6-t4
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s4-r2-t5.1-t3.1
location_of
HNO.80460354.ger.abstr-s4-t5
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s4-r3-t2.1-t3.1
location_of
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s6-r1-t1.1-t3.1
uses
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s6-r2-t3.1-t2.1
interacts_with
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s6-r3-t4.1-t3.1
produces
HNO.80460354.ger.abstr-s6-t4
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s6-r4-t1.1-t2.1
uses
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s6-r5-t4.1-t2.1
produces
HNO.80460354.ger.abstr-s6-t4
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s6-r6-t4.1-t1.1
location_of
HNO.80460354.ger.abstr-s6-t4
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s6-r7-t2.1-t4.1
disrupts
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s6-t4
HNO.80460354.ger.abstr-s6-r8-t3.1-t4.1
disrupts
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s6-t4
HNO.80460354.ger.abstr-s6-r9-t2.1-t3.1
interacts_with
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s7-r1-t3.1-t1.1
affects
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s7-r2-t3.1-t1.1
diagnoses
HNO.80460354.ger.abstr-s8-t3
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s7-r3-t1.1-t2.1
result_of
HNO.80460354.ger.abstr-s8-t1
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s7-r4-t2.1-t1.1
result_of
HNO.80460354.ger.abstr-s8-t2
HNO.80460354.ger.abstr-s8-t1