Laryngeal Actinomycosis: A Case Report and Systematic Review of 32 Cases in the Literature

Objective To report a case of vocal cord actinomycosis and provide a systematic review of the literature to provide a reference for its diagnosis and management. Review methods Relevant cases from a PubMed search were reviewed for age/gender, risk factors, clinical manifestations, and treatment. Results Thirty-two cases of laryngeal actinomycosis have been reported in the literature. Most (80%) cases presented in patient with known risk factors. The majority presented with dysphonia (61.5%). Thirteen (58.3%) involved the true vocal cords. Penicillin based therapy was treatment of choice. Conclusion A structured assessment revealed 32 cases of laryngeal actinomycosis in the literature. Actinomycosis should be considered on the differential, even in healthy individuals with symptoms of laryngeal impairment.