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Actinomycotic osteomyelitis of the maxilla in a female patient: A rare case report with the review of the literature.
Kumar, Lokesh S; Keluskar, Vaishali; Naik, Zameera.
Affiliation
  • Kumar LS; Department of Oral Medicine, Radiology and Special Care Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS Deemed-to-be University), Chennai, India.
  • Keluskar V; Department of Oral Medicine and Radiology, Vishwanath Katti Institute of Dental Sciences, KLE Academy of Higher Education and Research (KAHER Deemed-to-be University), Belagavi, India.
  • Naik Z; Department of Oral Medicine and Radiology, Vishwanath Katti Institute of Dental Sciences, KLE Academy of Higher Education and Research (KAHER Deemed-to-be University), Belagavi, India.
Dent Med Probl ; 2022 Jul 28.
Article in En | MEDLINE | ID: mdl-35901276
ABSTRACT
Actinomycotic osteomyelitis is a rare chronic suppurative, granulomatous, fibrosing saprophytic infection. It is an endogenous infection caused by the Actinomyces species, which are part of the normal oral microflora. There is a male predilection for this type of infection, with the male to female ratio of 41. Though the etiopathogenesis of the infection is unclear, it is mostly attributed to the disruption of the normal oral microflora and the invasion of the microorganism into deeper tissues through a break in the mucosal barrier due to damage from trauma, extraction or previous injury. The portal of entry can be through the pulpal, periodontal or mucosal route, causing the purulent and necrotic infection of soft tissue, bone, or both. The diagnosis is usually considered when there is a persistent infection without the presence of regional lymphadenopathy and is usually confirmed through the histopathological depiction of the bacterial colonies - 'ray fungus' - as obtaining the positive culture of the causative microorganisms is difficult and is reported to be effective in less than 50%. Patients with such infections are managed with surgical debridement, followed by antibiotic therapy for a longer time period. Recent advances have been emphasized for an early diagnosis and a better prognosis of the therapy. Therefore, this paper aimed to present a rare case of actinomycotic osteomyelitis of the maxilla in a 45-year-old female patient, and also to review the literature on this rare infection.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Screening_studies Language: En Journal: Dent Med Probl Year: 2022 Document type: Article Affiliation country: India

Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Screening_studies Language: En Journal: Dent Med Probl Year: 2022 Document type: Article Affiliation country: India