EREN ALTUN, Nevzat Dogukan ERBEK, Ihsan Ege TANER, Ali Haydar COLAK, Gulay TURAN

Does tonsil hypertrophy occur as a result of colonization of actinomycosis?

To determine the relationship between the presence of actinomyces in adenoid/tonsillar tissue and hypertrophy, and to investigate seasonal changes in frequency of actinomycosis in adenoidectomy/tonsillectomy materials. In this retrospective study, the data of 175 patients who underwent adenoidectomy/tonsillectomy between January 2016 – December 2018 were examined. After the exclusion of patients with immunosuppression, malignancy or without adequate medical data,158 patients were included to the study. Age, sex, adenoid/tonsil diameter and date of appointment were recorded. In our study, Actinomycosis was found in 44(28%) of 158 patients. Whilst there was no significant relationship between the presence of actinomycetes colonization and sex or date of appointment, increasing age was positively correlated with actinomycetes colonization. No relationship between actinomycetes colonization and hypertrophy was found. Besides, actinomycosis was found to be more prevalent in right and bilateral tonsillar tissues. Actinomyces can be found in adenoid/tonsils independent of hypertrophy and sex, and it shows a positive correlation with increasing age. It tends to be found in the right tonsil or bilateral tonsils more frequently.

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Can Ş, Bayindir T, Kuzucu Ç, et al. Cervicofacial actinomycosis : a case report of acute suppurative clinical progress. Bozok Tıp Derg. 2014;1:12–8.

Greenwood D. Medical microbiology : a guide to microbial infections : pathogenesis, immunity, laboratory diagnosis and control. Churchill Livingstone/Elsevier; 2012. p. 233.

Cherry JD, James D, Harrison GJ, et al. Feigin and Cherry’s textbook of pediatric infectious diseases. Philadelphia: WB Saunders, 1992:1;755-82.

Shilpa H AS, Mathew. A rare case of paedıatrıc cervıcofacıal actınomycosıs wıth obstructıve adenotonsıllar hypertrophy. Glob J Res Anal. 2018;7:43–5.

Szalmás A, Papp Z, Csomor P, et al. Microbiological profile of adenoid hypertrophy correlates to clinical diagnosis in children. Biomed Res Int. 2013;2013:629607.

Bhargava D, Bhusnurmath B, Sundaram KR, et al. Tonsillar actinomycosis: a clinicopathological study. Acta Trop. 2001;80:163–8.

Aydin A, Erkiliç S, Bayazit YA, et al. Relation between actinomycosis and histopathological and clinical features of the palatine tonsils: a comparative study between adult and pediatric patients. Rev Laryngol Otol Rhinol (Bord). 2005;126:95–8.

Ashraf MJ, Azarpira N, Khademi B, et al. Relation between actinomycosis and histopathological and clinical features of the palatine tonsils: an iranian experience. Iran Red Crescent Med J. 2011;13:499–502.

Riffat F, Walker P. Prevalence of tonsillar Actinomyces in children undergoing tonsillectomy for sleep disordered breathing compared with recurrent tonsillitis. Int J Pediatr Otorhinolaryngol. 2009;73:1111–3.

10. Gaffney R, Harrison M, Walsh M, et al. The incidence and role of actinomyces in recurrent acute tonsillitis. Clin Otolaryngol Allied Sci. 1993;18:268–71.

11. Pransky SM, Feldman JI, Kearns DB, et al. Actinomycosis in obstructive tonsillar hypertrophy and recurrent tonsillitis. Arch Otolaryngol Head Neck Surg. 1991;117:883–5.

12. Lord FT. The etıology of actınomycosıs the presence of actınomycetes ın the contents of carıous teeth and the tonsıllar crypts of patıents wıthout actınomycosıs. JAMA. 1910;55:1261.

13. Melgarejo Moreno P, Hellin Meseguer D, Marco Garrido A, et al. A correlation between age and Actinomyces in the adenotonsillar tissue of children. B-ENT. 2006;2:95–7.

14. Toh ST, Yuen HW, Goh Y-H. Actinomycetes colonization of tonsils: a comparative study between patients with and without recurrent tonsillitis. J Laryngol Otol. 2007;121:775–8.

15. van Lierop AC, Prescott CAJ, Sinclair-Smith CC. An investigation of the significance of Actinomycosis in tonsil disease. Int J Pediatr Otorhinolaryngol. 2007;71:1883–8.

16. Jones GH, Burnside G, McPartland J, et al. Is tonsillectomy mandatory for asymmetric tonsils in children? A review of our diagnostic tonsillectomy practice and the literature. Int J Pediatr Otorhinolaryngol. 2018;110:57–60.

17. Kansu L. Relation of actinomyces with tonsillar hypertrophy and antibiotic use. Turk Arch Otolaryngol. 2017;55:17–21.

18. Kutluhan A, Şalvız M, Yalçıner G, et al. The role of the actinomyces in obstructive tonsillar hypertrophy and recurrent tonsillitis in pediatric population. Int J Pediatr Otorhinolaryngol. 2011;75:391–4.

19. Erkiliç S, Nek AA. Tonsilla palatinanın benign histopatolojik lezyonları: 1220 olgunun retrospektif incelenmesii. Turk J Pathol. 2008;18:20–1.

20. Yasan H, Çiriş M, Özel B, et al. The significance of histpathologic tonsillar actinomycosis in pediatric patients with recurrent acute tonsillitis. KBBforum. 2006;5:1–4.