Case of maxillary actinomycotic osteomyelitis, a rare post COVID complication-case report

Arshad, Wajiha; Kamal, Mahjabeen Mahmood; Rafique, Zunaira; Rahat, Manahil; Mumtaz, Hassan

doi:10.1016/j.amsu.2022.104242

Cited by 6 publications

(10 citation statements)

References 12 publications

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“…In our case, P. aeruginosa growth was detected in the sputum, which we considered as colonization, and SARS-CoV2 RT-PCR was positive in the nasopharyngeal sampling. In the literature, cases of rhinosinusitis and osteomyelitis due to actinomycosis in the post-COVID period have been reported [17][18][19]. However, our case was the first in the literature due to the coexistence of COVID-19, Pseudomonas, and thoracic actinomycosis.…”

Section: Discussionmentioning

confidence: 70%

Coexistence of COVID-19, Pseudomonas, and thoracic actinomycosis in a cystic bronchiectasis case

et al. 2023

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Actinomycosis often leads to cervicofacial infections, but thoracic involvement may also occur. However, the development of empyema is rare. While being followed up with the diagnosis of asthma and bronchiectasis, our case was hospitalized for infected bronchiectasis. As empyema developed in the follow-up, the pleural effusion was drained by tube thoracostomy. Actinomycosis was diagnosed through pleural effusion cytology. Growth of Pseudomonas aeruginosa was observed in sputum culture, and SARS-CoV2 RT-PCR was also positive in nasopharyngeal sampling. Polymicrobial agents can often be detected in actinomycosis. Actinomycosis cases have also been reported in the post-COVID period. Our case is presented since it would be the first in the literature regarding the coexistence of COVID-19, Pseudomonas, and thoracic Actinomycosis (empyema).

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Section: Discussionmentioning

confidence: 70%

Coexistence of COVID-19, Pseudomonas, and thoracic actinomycosis in a cystic bronchiectasis case

et al. 2023

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“…The administration of severe immunosuppression led to actinomycosis. Further local actinomycotic spread was facilitated by the inclusion of necrotic tissues [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…Only after a long-term, strict antibiotic treatment has failed, surgery is performed. As infection may reappear after a period of inactivity, long-term follow-up is important [ 14 , 16 , 18 ]. In our case, the patient’s symptoms were relieved with ceftriaxone 1 g intravenous medication for one week, and the patient was advised o undergo regular follow-ups.…”

Section: Discussionmentioning

confidence: 99%

Herpes Zoster: A Case Report of a Rare Ramification Leading to Secondary Infection

S¹,

Ganesh²,

Harikrishnan³

et al. 2023

Cureus

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The herpes virus causes herpes zoster (HZ) (shingles). It develops years later in elderly patients who were affected by the varicella-zoster virus in their childhood. The virus gets reactivated and typically localizes its symptoms to a particular dermatome. If left untreated, it can lead to dental complications, such as osteonecrosis, tooth exfoliation, periodontitis, calcified and devitalized pulps, periapical lesions, and root resorption, in addition to developmental irregularities, such as abnormally short roots and missing teeth. Here, we present the case of a 61-year-old male affected by a rare bacterial superinfection followed by an HZ infection. Our report aims at making clinicians aware of the various potential complications that can develop after an HZ infection.

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“…These two bacteria are not commonly found in maxillary osteomyelitis. Most of the cases reported the involvement of both bacterial and fungal infections like actinomycosis, 10 11 12 mucormycosis, 13 14 15 16 17 Escherichia coli , 37 Staphylococcus aureus , 38 Veillonella species , 39 Candida , 40 and Kocuria . 41 The identifying the bacterial and fungal involvement in osteomyelitis is needed to provide definitive therapy on target and reduce the pathogenicity during therapy.…”

Section: Discussionmentioning

confidence: 99%

“…But this condition, it can be distinguished from anamnesis in patients with no history of bisphosphonate consumption and no history of radiation therapy in the jaw area. 5,6 The case of maxillary osteomyelitis was rare, 3,[7][8][9] and some of the reports were accompanied by actinomycosis, [10][11][12] and mucormycosis, [13][14][15][16][17] but one study reported a higher prevalence than mandibular. 8 The incident rate in mandibular is around 66.7%, 18 but the maxilla is only 33.3%.…”

Section: Introductionmentioning

confidence: 99%

Extensive Sequestration Chronic Maxillary Osteomyelitis in an Uncontrolled Diabetic Patient: Comprehensive Case Management of a Rare Entity

El Fadhlallah,

Nugraha,

Prasetio

et al. 2023

Eur J Dent

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The hallmark of osteomyelitis was progressive bone destruction and sequestrum formation. In the underlying disease, like diabetes mellitus, osteomyelitis becomes severe and exacerbates the condition. It was essential for the oral and maxillofacial surgeon to comprehend its complex medical and surgical management to achieve complete disease eradication. The aim of this article was to report a rare case and comprehensive management of extensive sequestrating maxillary osteomyelitis with uncontrolled diabetes mellitus patients. A 58-year-old male patient with pain and swelling accompanied by discharge of pus in the sinistra maxilla region. The systemic disease was identified as uncontrolled diabetes mellitus, and had a history of unhealing wounds 1 year ago after upper left molar extraction. Computed tomography scan result showed extensive sequester formation and bony destruction in the right extending to the left maxilla. Microbial culture results were Klebsiella pneumoniae and Morganella morganii. Subsequently, extensive sequestrectomy and multiple extractions of the involved jaw and teeth were performed after diabetes mellitus was regulated. A suspension suture against oral and nasal mucosa was performed to avoid dead space formation. Comprehensive perioperative management in maxillary osteomyelitis in uncontrolled diabetes mellitus includes sequestrectomy, definitive antibiotic therapy based on culture results, and diabetes regulation to improve the successful management of this case.

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Case of maxillary actinomycotic osteomyelitis, a rare post COVID complication-case report

Cited by 6 publications

References 12 publications

Coexistence of COVID-19, Pseudomonas, and thoracic actinomycosis in a cystic bronchiectasis case

Coexistence of COVID-19, Pseudomonas, and thoracic actinomycosis in a cystic bronchiectasis case

Herpes Zoster: A Case Report of a Rare Ramification Leading to Secondary Infection

Extensive Sequestration Chronic Maxillary Osteomyelitis in an Uncontrolled Diabetic Patient: Comprehensive Case Management of a Rare Entity

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