, Ümmühan Çay 1
, Merve Avluklu Pektaş 2
, Asena Ünal Tolunay 1
, Gökçe Oğuz 1
, Emel Bakanoğlu 1
, Özgür Sürmelioğlu 3
, Özlem Özgür Gündeşlioğlu 1
, Aysun Hatice Uğuz 2
, Derya Alabaz 1
2Department of Pathology, Cukurova University Faculty of Medicine, Adana, Türkiye
3Department of Otorhinolaryngology Diseases, Cukurova University Faculty of Medicine, Adana, Türkiye
Abstract
Background: Actinomyces is an anaerobic, filamentous bacterium that causes granuloma formation and suppurative infection. Although it is part of the normal flora of the oropharynx, gastrointestinal tract, and genital tract, it is rarely encountered in the middle ear and mastoid cavity.
Case Report: We present the case of a 4-year-old child diagnosed with chronic otitis media who had experienced ear pain and discharge for more than 3 months and whose symptoms did not resolve despite antibiotic therapy. Actinomyces was identified histopathologically in a specimen obtained from the middle ear during endoscopic surgery.
Conclusion: This report aims to emphasize that actinomycosis should be considered in the differential diagnosis of patients with chronic suppurative otitis media who do not improve with medical treatment.