Actinomicose em glândulas salivares: uma revisão de literatura

Abstract

Salivary gland actinomycosis is considered a rare condition and may resemble several pathological conditions both clinically and in imaging tests, making its correct diagnosis difficult. Objective: to carry out a literature review that describes clinical situations of actinomycosis involving the salivary glands, in order to contribute to future clinical decisions related to this topic. Methodology: A literature search was performed in Scopus, Embase and PubMed electronic databases by combining the descriptors Actinomycosis, "Salivary Gland", Mouth, "Oral Cavity", Jaw, Mandible, Maxilla and Cervicofacial. to the following criteria: English language, series of clinical cases of actinomycosis involving the salivary gland and possibility of full viewing of the article. Results: The initial search resulted in 5,403 articles, however, only 27 studies met the inclusion criteria. 44 clinical cases were analyzed, recording a higher prevalence in males (73%), age over 50 years (48%) and parotid gland (68%).The extraction of the third molar was cited as a possible predisposing factor. of greater reliability and imaging tests do not allow a definitive diagnosis, and should be used as a complement. Of the evaluated cases, approximately 88.6% reported the use of a antibiotic, with penicillin being the drug of choice. In addition, gland removal and incision/drainage were also cited for treatment. Conclusion: A correct diagnosis is essential to conduct the treatment of actinomycosis in the salivary gland, as the use of inappropriate drugs and duration of therapy reduce the possibility of clinical success. It is also noteworthy that the patient should be followed up after the regression of symptoms due to the possibility of recurrence of the lesion.