Relation between Actinomycosis and Histopathological and Clinical Features of the Palatine Tonsils: An Iranian Experience
نویسندگان
1 Department of Pathology,
2 Transplant Research Center, Nemazee Hospital
3 Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran
4 Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran
5 Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran
doi
چکیده
Background: Actinomycosis of the tonsils has been reported in a variable percentage of tonsil specimens byother authors. This study determines the incidence of actinomyces in the palatine tonsil and evaluates the clinicaldiagnoses and histopathological features of tonsillectomy specimens.Methods: In a retrospective study, 204 patients who had undergone tonsillectomy for recurrent tonsillitis (groupA) and for sleep apnea without a history of recurrent tonsillitis (group B) were enrolled.Results: The prevalence rate was significantly higher in the adult compared with the pediatric population. Theprevalence of tonsillar actinomycetes colonization was higher in patients who had undergone tonsillectomy forrecurrent tonsillitis (43.9%) than in patients who had undergone tonsillectomy for obstructive sleep apnea(26.3%). The prevalence did not differ by sex of patient. Histopathological analysis of resected tonsils did notshow active tissue infection. There was a statistically significant relationship between the presence of actinomycosisand age, with a greater occurrence of actinomycosis in adult patients.Conclusion: Although actinomyces colonization is more prevalent in patients with recurrent tonsillitis than sleepdisorderedbreathing, but the presence of actinomyces does not indicate any active disease.
