{"id":747,"date":"2026-03-01T19:32:37","date_gmt":"2026-03-01T19:32:37","guid":{"rendered":"https:\/\/batnajms.net\/?p=747"},"modified":"2026-03-01T19:32:51","modified_gmt":"2026-03-01T19:32:51","slug":"bicha","status":"publish","type":"post","link":"https:\/\/batnajms.net\/index.php\/2026\/03\/01\/bicha\/","title":{"rendered":"Cervicofacial Actinomycosis Mimicking a Tumor in a Child"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\" id=\"block-c2f138d4-0208-4b99-af09-93c83eb26d35\"><strong><a href=\"https:\/\/batnajms.net\/wp-content\/uploads\/Archives\/2026\/03\/BJMS_Bicha.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Fulltext\u00a0<\/strong><\/a>(PDF)<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>DOI<\/strong>: 10.48087\/BJMS.2026.130323<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Authors:<\/strong>\u00a0Samia BICHA<sup> 1,2,3 , <\/sup>Nadim<sup> \u00a0<\/sup>ABDELMOUMEN<sup>4<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Affiliations:<\/strong>\u00a01- Constantine 3 University. 2- Research Laboratory LR2M. 3- Pediatrics Department B, Constantine University Hospital Center. 4-Pathological Anatomy Laboratory, Constantine University Hospital Center \u2013 Algeria.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Abstract<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cervicofacial actinomycosis is a rare bacterial infection in children that often presents with nonspecific symptoms mimicking malignancy or other inflammatory processes, posing significant diagnostic challenges. We report the case of a 3-year-old boy who presented with a one-month history of a painless, firm, immobile 10 cm mass on the left side of his neck, following a brief febrile episode. Physical examination revealed a hard, non-tender mass fixed to deep structures with associated satellite lymphadenopathy, while the oral cavity appeared normal. Initial inflammatory markers were unremarkable, and bacteriological analysis of the ultrasound-guided biopsy was negative, likely due to prior antibiotic exposure and suboptimal anaerobic culture conditions. Cervical computed tomography demonstrated a heterogeneous mass infiltrating adjacent muscles. The diagnosis was ultimately confirmed by histopathological examination, which revealed a mixed inflammatory infiltrate with granulomatous features and characteristic actinomyces grains. The patient was successfully treated with a 21-day course of intravenous ceftriaxone \u2014 owing to a documented penicillin allergy \u2014 followed by oral antibiotic therapy, for a total treatment duration of six weeks, resulting in complete resolution of the lesion. This case underscores the importance of maintaining a high index of suspicion for cervicofacial actinomycosis in children presenting with persistent cervical masses, particularly in the context of a preceding febrile episode. It further highlights that a multidisciplinary approach integrating clinical assessment, imaging, and histopathology is essential for timely diagnosis and effective management.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Keywords:<\/strong>\u00a0Actinomycosis, Cervicofacial, Neck Mass, Children, and Diagnosis.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fulltext\u00a0(PDF) DOI: 10.48087\/BJMS.2026.130323 Authors:\u00a0Samia BICHA 1,2,3 , Nadim \u00a0ABDELMOUMEN4 Affiliations:\u00a01- Constantine 3 University. 2- Research Laboratory LR2M. 3- Pediatrics Department B, Constantine University Hospital Center. 4-Pathological Anatomy Laboratory, Constantine University Hospital Center \u2013 Algeria. Abstract Cervicofacial actinomycosis is a rare bacterial infection in children that often presents with nonspecific symptoms mimicking malignancy or other inflammatory &hellip; <a href=\"https:\/\/batnajms.net\/index.php\/2026\/03\/01\/bicha\/\" class=\"more-link\">Continuer la lecture de <span class=\"screen-reader-text\">Cervicofacial Actinomycosis Mimicking a Tumor in a Child<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-747","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/batnajms.net\/index.php\/wp-json\/wp\/v2\/posts\/747","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/batnajms.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/batnajms.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/batnajms.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/batnajms.net\/index.php\/wp-json\/wp\/v2\/comments?post=747"}],"version-history":[{"count":1,"href":"https:\/\/batnajms.net\/index.php\/wp-json\/wp\/v2\/posts\/747\/revisions"}],"predecessor-version":[{"id":748,"href":"https:\/\/batnajms.net\/index.php\/wp-json\/wp\/v2\/posts\/747\/revisions\/748"}],"wp:attachment":[{"href":"https:\/\/batnajms.net\/index.php\/wp-json\/wp\/v2\/media?parent=747"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/batnajms.net\/index.php\/wp-json\/wp\/v2\/categories?post=747"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/batnajms.net\/index.php\/wp-json\/wp\/v2\/tags?post=747"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}