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[Cervicofacial actinomycosis: two case reports].

Simone Mettler¹, Flavio Brunner, J Thomas Lambrecht

¹Klinik für zahnärztliche Chirurgie, Radiologie, Mund- und Kieferheilkunde, Universitätskliniken für Zahnmedizin der Universität Basel, Basel. Simone.Mettler@unibas.ch

Schweizer Monatsschrift Fur Zahnmedizin = Revue Mensuelle Suisse D'Odonto-Stomatologie = Rivista Mensile Svizzera Di Odontologia E Stomatologia

|May 5, 2009

Summary

Actinomycosis infections cause destructive orofacial lesions. Accurate diagnosis requires both microbiological and histological analysis alongside clinical assessment and treatment.

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Area of Science:

Oral and Maxillofacial Surgery
Infectious Diseases
Pathology

Background:

Actinomycosis is a rare bacterial infection known for causing severe, destructive lesions, primarily affecting the orofacial regions.
Hard tissue swelling in the jaw necessitates careful evaluation to rule out various causes, including actinomycosis.

Observation:

This article presents two clinical cases of actinomycosis in the orofacial region.
The cases highlight the characteristic destructive nature of the infection.

Findings:

Diagnosis of actinomycosis requires a combination of clinical suspicion, microbiological identification of Actinomyces species, and histological examination.
Surgical intervention, including curettement and drainage, coupled with long-term antibiotic therapy, is the standard treatment approach.

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Implications:

Emphasizes the critical role of integrated laboratory diagnostics (microbiological and histological) in confirming clinical diagnoses of actinomycosis.
Underscores the importance of prompt and accurate diagnosis for effective management and prevention of severe complications associated with actinomycosis.