[Actinomycosis of the maxillofacial area in jaw fractures].

Stomatologiia (Mosk)

Published: January 1980

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Article Synopsis
  • Actinomycosis is a rare infection caused by certain types of gram-positive bacteria, primarily affecting soft and bone tissues, and occurs in about 3% of cases in children.
  • A case involving a 4-year-old girl showed an extensive ulcerative lesion in the maxilla, which developed after a prior diagnosis of scarlet fever and led to damage in surrounding tissues.
  • Successful treatment involved surgical removal of affected bone and teeth, followed by local treatment, highlighting the need for pediatric dentists to recognize actinomycosis and its implications for diagnosis and care.
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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.

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Study Design: Review of the literature with report of Case.

Objective: To review the presentation of Actinomycosis specifically as it occurs with mandibular osteotomies.

Methods: A review of the literature and report of an additional case.

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Actinomycosis is an uncommon bacterial infection, caused by the Actinomyces species, and it most commonly presents as cervicofacial actinomycosis. The most common risk factors for actinomycosis are poor dental hygiene, oral surgery, maxillofacial trauma, local tissue inflammation, and diabetes. We discuss a case of a male patient in his 50s with 30 years of poor dental hygiene, complicated by tobacco use, who presented with septic shock and was found to have cervicofacial actinomycosis and bacteremia.

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Individuals with COVID-19 are prone to a variety of infections due to immune dysregulation. The present report presents a case of actinomycotic infection in the maxillary bone and sinus region in a patient with a history of COVID-19. This case report highlights the importance of considering bacterial infections including actinomycosis when encountering destructive lesions resembling more prevalent fungal infections due to different therapeutic medication protocols.

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