RESUMEN
This report describes a rare case of pericardial effusion owing to Actinomyces odontolyticus in a 52-year-old woman that originated from a dentigerous cyst, which developed on the distal aspect of a lower left third molar. The cyst had remained asymptomatic for a long period, with no specific functional complications. This is the first case report of a patient with acute pericarditis in which the same strain of A odontolyticus was detected in an asymptomatic dentigerous cyst and in the pericardial fluid.
Asunto(s)
Actinomicosis/diagnóstico , Taponamiento Cardíaco/microbiología , Quiste Dentígero/diagnóstico , Pericarditis/microbiología , Enfermedades Dentales/diagnóstico , Actinomicosis/complicaciones , Actinomicosis/microbiología , Enfermedad Aguda , Quiste Dentígero/complicaciones , Quiste Dentígero/microbiología , Femenino , Humanos , Persona de Mediana Edad , Tercer Molar , Enfermedades Dentales/complicaciones , Enfermedades Dentales/microbiologíaRESUMEN
Actinomyces-associated lesions in the jaw, such as radicular cyst and osteomyelitis, have been reported by many authors. The lesions are caused by infection from peripheral sites and can be seen to contain Actinomyces druses on pathologic examination. To our knowledge, no previous reports have described Actinomyces-associated calcification in the jaw, although the lesions in the jaw often include druses. We report here a rare case of Actinomyces-associated calcifications in a dentigerous cyst of the mandible.
Asunto(s)
Actinomicosis/diagnóstico , Calcinosis/microbiología , Quiste Dentígero/microbiología , Enfermedades Mandibulares/microbiología , Pérdida de Hueso Alveolar/microbiología , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Diente Molar/microbiología , Tercer Molar/microbiología , Periodontitis/microbiología , Diente Impactado/microbiologíaRESUMEN
Tuberculous infection of the oral tissues is a rare finding. An interesting case of primary tuberculosis of mouth is described, presenting as persistent discharge of pus from the lower wisdom tooth region. Incisional biopsy revealed features of an infected dentigerous cyst while histopathological examination of the excised lesion showed keratinizing cyst with secondary infection. Non-healing of the bony defect prompted curettage of the area and the submitted sample microscopically showed granuloma with characteristic Langhans' giant cells, raising the suspicion of underlying systemic tuberculosis. The importance to the dental surgeon in the recognition, especially by use of pathological examination, is emphasized and also the value of diagnosis for the patients and the community.
