{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T14:56:19Z","timestamp":1785250579159,"version":"3.55.0"},"reference-count":17,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2014,4,30]],"date-time":"2014-04-30T00:00:00Z","timestamp":1398816000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Actinomyces is a bacterial rod found in the normal oral flora. It can gain entry to the submucosa via trivial wounds and ultimately lead to slow growing lesions which may mimic cancerous lesions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>We present the case of an elderly, immunosuppressed woman who presented with a herald bleed from a tonsillar lesion. Despite initial operative arrest of the hemorrhage, she died of a carotid blowout. At autopsy, no sign of cancer was found, but rather an invasive actinomycosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although actinomycosis of the tonsil is well known and has even been described as mimicking tonsillar cancer, this is, to our knowledge, the first report of a carotid blowout secondary to actinomycosis. \u00a9 2014 Wiley Periodicals, Inc. <jats:italic>Head Neck<\/jats:italic> 36: E129\u2013E130, 2014<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.23659","type":"journal-article","created":{"date-parts":[[2014,3,4]],"date-time":"2014-03-04T17:08:43Z","timestamp":1393952923000},"source":"Crossref","is-referenced-by-count":8,"title":["Fatally invasive actinomycosis masquerading as a tonsillar carcinoma"],"prefix":"10.1002","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5672-5068","authenticated-orcid":false,"given":"Thomas F.","family":"P\u00e9zier","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Zurich Frauenklinikstrasse 24 CH\u20108091 Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikos","family":"Kastrinidis","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Zurich Frauenklinikstrasse 24 CH\u20108091 Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gian\u2010Marco","family":"Widmer","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Zurich Frauenklinikstrasse 24 CH\u20108091 Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerhard F.","family":"Huber","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Zurich Frauenklinikstrasse 24 CH\u20108091 Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rudolf","family":"Probst","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Zurich Frauenklinikstrasse 24 CH\u20108091 Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,4,30]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11908-005-0030-0"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1086\/376621"},{"key":"e_1_2_5_4_1","volume-title":"Klinische Beitr\u00e4ge zur Kenntnis der Aktinomykose des Menschen","author":"Israel J","year":"1885"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0196-0709(93)90002-O"},{"key":"e_1_2_5_6_1","first-page":"41","article-title":"Actinomycosis of the ear","volume":"28","author":"Lester FT","year":"1990","journal-title":"Ethiop Med J"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2006.05.015"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-010-2151-5"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100129536"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016480600946954"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1258\/0022215011907857"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.37.11.861"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0001-706X(01)00172-3"},{"key":"e_1_2_5_14_1","first-page":"467","article-title":"Fine\u2010needle aspiration cytology in the diagnosis of cervicofacial actinomycosis: report of 15 cases","volume":"9","author":"Custal\u2013Teixidor M","year":"2004","journal-title":"Med Oral Patol Oral Cir Bucal"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100125587"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1086\/381099"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-004-0775-3"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2008.10.009"}],"container-title":["Head &amp; 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