PMID: 6408574Apr 1, 1983Paper

Actinomycotic osteomyelitis of the facial bones and mandible

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
A YensonZ E Deeb

Abstract

Actinomyces israelii is a part of the human oral flora and thus is more commensal than pathogenic. Oral trauma, accidental or purposeful, can precipitate its introduction into the soft tissues, to which infection is usually confined. The case presented is one in which, over a span of two decades (1956 to 1977), the extraction of a mandibular tooth resulted in a chronic actinomycotic osteomyelitis, destroying first the mandible, then both maxillae, and then the right zygoma, with decreased vision and proptosis despite repeated medical and surgical intervention. Adequate treatment required removal of the sequestrum and excision of all infected granulation tissue, scars, and involucra until healthy bone was exposed. Intravenous penicillin was administered for 2 weeks, followed by a 6-month course of oral penicillin. The patient was followed for 4 years and remained disease free.

References

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Citations

Aug 3, 2001·The Journal of Craniofacial Surgery·J A FialkovO M Antonyshyn
Apr 9, 2005·The Pediatric Infectious Disease Journal·Joan L RobinsonWalter Dobrovolsky
Feb 10, 2006·Southern Medical Journal·I PinillaE Gil-Garay
Dec 1, 1993·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·L A OhlmsN Ferraro
Mar 18, 2011·Ear, Nose, & Throat Journal·Rohit GargQuoc A Nguyen
Nov 7, 2017·Journal of Materials Chemistry. B, Materials for Biology and Medicine·Vuk UskokovićVictoria M Wu
Jun 28, 2016·Materials·Vuk Uskoković, Victoria M Wu
Apr 4, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Jaime B LongJeffrey L Cornella
Jan 8, 2021·Surgical Neurology International·María F De la Cerda-VargasBayron A Sandoval-Bonilla
Apr 1, 1995·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·R J Schoeman, D L Rose
Jan 1, 2006·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Sanjeev Mohanty

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Actinomycosis

Actinomycosis is a rare, chronic, and slowly progressive granulomatous disease caused by filamentous Gram positive anaerobic bacteria from the Actinomycetaceae family (genus Actinomyces). The disease is characterised by the formation of painful abscesses in the mouth, lungs,breast or gastrointestinal tract. Discover the latest research on actinomycosis here.

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