Actinomycosis is a rare chronic infection caused by species of Actinomyces and characterised by abscess formation, tissue fibrosis, suppurative lesions and fistulas with purulent discharge containing sulphur granules. Owing to its multiform manners of presentation and non-specificity from its clinical features, it has been considered as a challenging diagnosis. Periapical actinomycosis is one of the rarest forms of actinomycosis occurring in the maxillofacial region. In its occurrence it presents in the form of persistent and recurrent draining fistula in the periapical region. We report a case of periapical actinomycosis occurred in endodontically treated teeth and accidentally found to be actinomycosis during histopatological examination. An insight towards the portal of entry of the organisms into the periapical region is also discussed. The practice of sending even a tiny bit of tissues to histopathology obtained from periapical surgery will very well demonstrate this disease and help in rapid resolution through appropriate antibiotic therapy.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4542948 | PMC |
| http://dx.doi.org/10.1136/bcr-2012-006218 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Peri-implantitis as a rare local manifestation of actinomycosis: A case report.
Clin Adv Periodontics
June 2024
Department of Periodontics, Virginia Commonwealth University School of Dentistry, Richmond, Virginia, USA.
Background: Actinomycosis can be caused by periapical endodontic infection, trauma, or surgical dental procedures. Due to its rare occurrence in a healthy adult patient, persistent actinomycotic osteomyelitis around implants presenting as severe peri-implantitis may be challenging to diagnose.
Methods: A 26-year-old male patient with non-contributory medical history presented to the Oral and Maxillofacial Surgery Clinic in 2018 with pain and edema associated with endodontically treated maxillary premolar teeth with poor prognosis.
Case report of an extra-oral cutaneous sinus tract of endodontic origin in a patient with autism spectrum disorder.
Spec Care Dentist
May 2024
Department of Pediatrics, University of Cincinnati College of Medicine, and Division of Pediatric Dentistry, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Article Synopsis
- EOCSTs are often misdiagnosed because they can appear unexpectedly and may not present with typical symptoms like pain, making diagnosis tricky, especially in patients with sensory processing issues.
- A 19-year-old male with autism faced a misdiagnosis of an EOCST as an infection, leading to unnecessary treatments and a recurrence of the lesion until the correct dental-related cause was identified.
- Effective treatment required collaboration between medical and dental teams to manage his special needs, highlighting the importance of proper diagnosis and care in such cases.
The role of Actinomyces spp. and related organisms in cervicofacial infections: Pathomechanism, diagnosis and therapeutic aspects.
Anaerobe
August 2023
Department of Medical Microbiology and Immunology, Clinical Center, University of Pécs, Szigeti út 12., 7624, Pécs, Hungary. Electronic address:
Members of the Actinomyces genus and Actinomyces-like organisms (ALOs; namely Actinotignum, Arcanobacterium, Schaalia and Varibaculum) are Gram-positive, non-spore-forming rods that are commensal members of the human oral cavity, gastrointestinal tract, female genital tract and skin microbiota. Cervicofacial actinomycosis or "lumpy jaw syndrome" - the chronic, suppurative granulomatous disease caused by Actinomyces spp. And ALOs - is characterized by an initially slow and unspecific disease-presentation, which often mimics other pathologies, followed by the formation of painful abscesses and severe tissue destruction.
View Article and Find Full Text PDFPeriapical granuloma with actinomycosis and medication-related osteonecrosis of the jaw in a patient prescribed high-dose ibandronate.
J Dent Sci
April 2023
Department of Comprehensive Dentistry and Clinical Education, Nihon University School of Dentistry, Tokyo, Japan.
Mandibular Actinomycosis Disguised as a Periapical Lesion.
Cureus
August 2022
Oral and Maxillofacial Pathology, PSM College of Dental Sciences & Research, Thrissur, IND.
is a rare chronic suppurative granulomatous disease caused by commensal bacteria of Actinomyces species. We report an unusual case of a 20-year-old male patient presenting with pain and swelling to the right lower posterior teeth for a few months. Radiographs revealed a well-defined osteolytic lesion extending from the periapical region of the right mandibular first premolar to the right mandibular second molar.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!