Actinomycosis of the maxilla – a case report of a rare oral infection presenting in general dental practice

Crossman, Tim; Herold, Joerg

doi:10.1038/sj.bdj.2009.115

Cited by 31 publications

(41 citation statements)

References 5 publications

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“…Actinomycosis is classified according to its anatomical position as cervicofacial, thoracic or abdominal, the first of which is the most common manifestation of the disease [3,9]. However, CA is an infrequent disease, which affects mainly young male subjects [4], as observed in this case report.…”

Section: Discussionmentioning

confidence: 99%

“…However, the disease is rare in the maxilla, with few cases reported in the literature [1][2][3][4]9,10].…”

Section: Discussionmentioning

confidence: 99%

“…In this sense, CA diagnosis should be made based on the results of histopathology and microbiology assays. Moreover, radiography, CT scans, and magnetic resonance are important resources in the evaluation of the extension of lesions and of the extent to which adjacent structures are affected [1,3,4,6].…”

Section: Discussionmentioning

confidence: 99%

“…The main species identified in these lesions is A. israelii, though strains of A. bovis, A. naeslundii, A. viscous and A. odontolyticus may also be detected. This group of little virulent, grampositive anaerobic bacteria is present in the oral microbiota, including saliva, dental plaque, gingival crevice and periodontal sacs [2][3][4][5][6]. The literature indicates that cervicofacial actinomycosis (CA) manifests after a traumatic event that affects the integrity of the barrier afforded by the oral mucosa, such as periodontal disease, tooth extraction, or any other form of surgical intervention.…”

Section: Introductionmentioning

confidence: 99%

“…Commonly characterized by a hardened, slow-growing, painful mass, CA also produces abscesses, multiple fistulous pathways, and suppuration discharge containing typical 'sulfur granules' . In addition, the mandibular angle is the site most commonly affected by CA [3,6,9]. The factors associated with the host in the evolution of CA have not been clarified.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Cervicofacial Actinomycosis of the Maxilla and HIV Infection: A Case Report.

Klein¹,

Carrard²,

Munerato³

2017

Otolaryngol (Sunnyvale)

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Section: Discussionmentioning

confidence: 99%

“…However, the disease is rare in the maxilla, with few cases reported in the literature [1][2][3][4]9,10].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Cervicofacial Actinomycosis of the Maxilla and HIV Infection: A Case Report.

Klein¹,

Carrard²,

Munerato³

2017

Otolaryngol (Sunnyvale)

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Invasive sinonasal actinomycosis

Vorasubin

Day

et al. 2012

The Laryngoscope

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Actinomycosis is a rare anaerobic bacterial infection typically caused by Actinomyces israelii. Although part of normal flora in the oral cavity, and respiratory and digestive tracts, A israelii can give rise to pathologic infections most commonly reported in the oral cavity from odontogenic causes. We present a rare case of invasive actinomycosis presenting with extensive midface destruction involving the maxilla and paranasal sinuses, with mucosal necrosis mimicking an aggressive neoplasm. The diagnosis is usually reached only after histopathologic analysis showing characteristic sulfur granules with filamentous gram-positive, non-acid-fast bacteria. We review the literature on its epidemiology, clinical presentation, diagnosis, treatment, and prognosis.

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