We present the case of a 4-year-old boy who was born with a large cervicofacial lymphatic malformation. It was partially resected in the first year of life and treated with Picibanil/OK-432 injections at the age of three because of recurrence. Eight months later the boy developed a fulminant streptococcal toxic shock syndrome with cardiac arrest. After resuscitation, high dose intravenous antib...

Actinomycosis is a chronic bacterial infection characterized by “sulfur granules” in the discharge. Actinomyces species are susceptible to many antibiotics in vitro. Actinomycosis infections are uncommon, and the diagnosis is often missed or delayed because of general unfamiliarity with the disease; so it is still poses a great diagnostic challenge, especially in atypical cases, because of its ...