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Actinomycosis which Impersonates Malignancy.
Kalyani Gelada1, Rajshekhar Halli1, Husain Mograwala1
1Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth Dental College and Hospital, Pune, Maharashtra, India.
Annals of Maxillofacial Surgery
|January 30, 2019
Summary
Actinomycosis, a rare bacterial infection caused by Actinomyces israelii, can mimic oral diseases or cancer. Prompt surgical and antibiotic treatment is crucial for this destructive condition.
Area of Science:
- Oral medicine
- Infectious diseases
- Bacteriology
Background:
- Actinomycosis is a chronic bacterial infection often caused by Actinomyces israelii.
- It can present symptoms similar to common oral diseases or malignancy.
- This condition is rarely encountered in dental practice but is locally destructive.
Observation:
- A case of oral actinomycosis is presented.
- The patient experienced an unhealed extraction socket, chronic halitosis, and exposed bone with severe gingival recession.
- The infection led to maxillary bone destruction and nasal septum deviation.
Findings:
- Actinomycosis can cause extensive maxillary bone destruction and sequestration.
- Nasal septum deviation can be a consequence of advanced oral actinomycosis.
- Symptoms like unhealed extraction sockets and halitosis may indicate underlying actinomycosis.
Implications:
- Early diagnosis and treatment of actinomycosis are vital to prevent severe tissue destruction.
- Dental practitioners should consider actinomycosis in cases of persistent oral infections with unusual presentations.
- Aggressive management involving surgery and antibiotics is necessary for effective treatment.
