TY - JOUR AU - Coutinho, Gil; Spratley, Jorge; Saldanha, InĂªs; Castro, Cristina; Pinheiro, Jorge; Santos, Margarida TI - Middle Ear Actinomycosis SN - 1305-7707 SN - 1305-7693 PY - 2020 JO - J Pediatr Infect Dis JF - Journal of Pediatric Infectious Diseases LA - EN VL - 15 IS - 03 SP - 144 EP - 147 ET - 2018/05/03 DA - 2020/04/16 KW - otitis media KW - actinomycosis KW - sulfur granules AB - Middle ear actinomycosis is an atypical and exceedingly rare anaerobic infection. The authors report a case of a 7-year-old girl with persistent right side otalgia, conductive hearing loss, and headache. Otoscopic findings included a thickened, intact, and bulging tympanic membrane. Computed tomography imaging revealed soft tissue density filling the middle ear with areas of bone erosion. Typical sulfur granules were found on surgical exploration. Actinomycosis was diagnosed by histopathological examination. Penicillin was prescribed for 5 weeks followed by oral amoxicillin for 6 months. Recovery was uneventful and with a 2-year follow-up, no recurrence or complications were observed. PB - Georg Thieme Verlag KG DO - 10.1055/s-0038-1645866 UR - http://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0038-1645866 ER -