Osteomyelitis of the maxilla caused by Actinomyces sp.

Antunes, Lívia de Oliveira; Borges, Rafael da Silveira; Freitas, Wania Vasconcelos de; Souza, Simone Rachid de; Corrêa, Diogo Goulart

doi:10.1590/0100-3984.2017.0062

Radiol Bras

2018

DOI: 10.1590/0100-3984.2017.0062

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Osteomyelitis of the maxilla caused by Actinomyces sp.

Lívia de Oliveira Antunes

Rafael da Silveira Borges

Wania Vasconcelos de Freitas

et al.

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Cited by 2 publications

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Actinomycotic Osteomyelitis of the Maxilla in a Patient on Phenytoin

Agha‐Hosseini¹,

Hoseini²,

Mahdavi³

2022

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Actinomycosis is caused by Actinomyces species and is relatively rare in humans. Because of the special collateral blood flow, osteomyelitis is less common in the maxilla than the mandible. Although there are few case reports for jaw osteomyelitis, actinomycotic osteomyelitis associated with phenytoin therapy has not been reported before. The data show that antiepileptic drugs induce suppression of the immune system. This report presents a rare case of a 58-year-old man on phenytoin with actinomycotic osteomyelitis, and reviews the relevant literature.

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Actinomycotic Osteomyelitis of the Maxilla in a Patient on Phenytoin

Agha‐Hosseini¹,

Hoseini²,

Mahdavi³

2022

fid

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Osteomielite associada à Actinomyces sp. em osso mandibular: relato de caso

Ferreira

Gouveia

Bernardo-Neto

et al. 2020

RSD

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The Actinomycosis is a rare infection caused by microorganisms of the genus Actinomyces. Its clinical presentation may resemble or mask other infectious processes, which makes the diagnosis complex and compromises therapeutic success. The aim of this work is to report a case of osteomyelitis caused by a bacterial infection, discuss the clinical manifestations, forms of diagnosis and treatment. This is a descriptive, retrospective and qualitative study, carried out using the direct observation technique. Male patient, leucoderma, 65 years old, attended on maxillofacial surgery ambulatory with pain complaint in anterior region of the mandible and history of extraction 5 months ago on region with episodes of drainage of purulent secretion. Physical examination revealed absence of tooth 31 and intact tissues, and radiographic examination was requested, where was observed bone sequestration in the region of alveolar bone, with hypothesis of osteomyelitis. Surgical treatment was recommended with excision of the radiopaque area, associated with antibiotic therapy. Histopathological evaluation confirmed the infectious process associated with colonies of bacteria Actinomyces sp.; the patient progressed well with complete remission of the infectious process. Thus, histopathological confirmation is an important tool for the rapid diagnosis and establishment of effective treatment, considering that actinomycosis makes a differential diagnosis with several diseases and has high local destructive power.

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Osteomyelitis of the maxilla caused by Actinomyces sp.

Cited by 2 publications

References 5 publications

Actinomycotic Osteomyelitis of the Maxilla in a Patient on Phenytoin

Actinomycotic Osteomyelitis of the Maxilla in a Patient on Phenytoin

Osteomielite associada à Actinomyces sp. em osso mandibular: relato de caso

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