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Cervicofacial Actinomycosis and its Management.
1Department of Oral and Maxillofacial Surgery, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India.
Annals of Maxillofacial Surgery
|January 30, 2019
Summary
Cervicofacial actinomycosis, a bacterial infection, presents with varied symptoms often delaying diagnosis. Early intervention with antibiotics and surgery is crucial for managing this invasive condition.
Area of Science:
- Infectious Diseases
- Microbiology
- Oral Surgery
Background:
- Cervicofacial actinomycosis is an invasive infection caused by *Actinomyces* bacteria.
- Commonly linked to odontogenic sources, poor hygiene, and immunosuppression.
- Diagnosis is challenging due to nonspecific symptoms mimicking malignancy.
Observation:
- Two cases of cervicofacial actinomycosis are presented.
- One case featured an intraoral granulomatous lesion.
- The second case presented with extraoral swelling and multiple draining sinuses.
Findings:
- The intraoral lesion was treated with surgical curettage and intramuscular penicillin.
- The extraoral case with draining sinuses was managed with oral antibiotics.
- Both cases highlight the diverse clinical presentations of cervicofacial actinomycosis.
Implications:
- Emphasizes the need for early diagnosis and prompt treatment to reduce patient morbidity.
- Highlights the importance of considering actinomycosis in differential diagnoses for cervicofacial lesions.
- Demonstrates successful treatment outcomes with combined surgical and antibiotic approaches.
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