Background:
Primary actinomycosis of the parotid gland is of rare occurrence and can mimic a malignant neoplasm both clinically as well as radiologically.
Case presentation:
We present here a case of primary actinomycosis of the parotid gland presenting with a parotid mass lesion with erosion of skull bones.
Conclusions:
Clinical presentation of cervico-facial actinomycosis is characterized by the presence of a suppurative or indurative mass with discharging sinuses. The lesion demonstrates characteristic features on fine needle aspiration cytology and histology, however at times the findings are equivocal.