Abstract
The aim of this study was to report a case of a female patient, 44 years old, who had an asymptomatic vascular lesion located on the lateral border of the tongue. Sclerotherapy was carried out with an injection of 1.2 ml oleate solution of 5% monoethanolamine (Ethamolin®) in the deepest portion of the lesion. After 7 days, the patient experienced a volume increase of woody consistency, associated with a large area of necrosis and purulent exudate. Histopathologic examination revealed granulation tissue with multiple typical sulfur granules, suggesting actinomycosis infection. After 21 days there was a complete regression of the lesion. Based on clinical and histopathologic findings, the diagnosis of actinomycosis infection secondary to intra-lesional application of ethamolin was confirmed. Chest radiograph excluded pulmonary involvement. The patient shows no signs of infection after 1 year of follow-up. Actinomycosis infection is unusual and has few cases reported in the literature.
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