vocal cord actinomycosis with sulfur granules in tissue

actinomyces tonsils sulfer stone sinus pus purulent positive organisms negative microscopic inflammation infectious tract infection granules gram filamentous drainage disease diagnosis crypts colony colonize bacterium bacteria actinomycoses histology pathology virulent dangerous infect opportunist multifocal penicillin treat doctor physician face neck jaw swelling lumpy pelvic iud genitals tooth orofacial