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The lumpy jaw. Cervicofacial actinomycosis.

P I Lerner1

  • 1Case Western Reserve University School of Medicine, Cleveland, Ohio.

Infectious Disease Clinics of North America
|March 1, 1988
PubMed
Summary
This summary is machine-generated.

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Cervicofacial actinomycosis is a challenging polymicrobial infection with varied presentations. Early diagnosis and prolonged antimicrobial therapy, often with penicillin G, are key to successful treatment.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Oral and Maxillofacial Surgery

Background:

  • Cervicofacial actinomycosis is a polymicrobial infection of endogenous origin.
  • It presents with a variable clinical course, mimicking malignancy.
  • Characteristic sulfur granules are discharged through sinus tracts.

Purpose of the Study:

  • To highlight the diagnostic challenges of cervicofacial actinomycosis.
  • To emphasize the importance of timely and appropriate diagnostic studies.
  • To review treatment strategies for this infection.

Main Methods:

  • Diagnosis relies on anaerobic culture, tissue examination, and fluorescent antibody stains.
  • Clinical presentation and patient history are crucial.

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  • Treatment response is monitored over time.

    • Main Results:

    • The diagnosis can be elusive without specific microbiological and histological examinations.
    • Lesions can invade tissues aggressively, forming sinus tracts.
    • Most cases respond to prolonged antimicrobial therapy.

    Conclusions:

    • Prompt and accurate diagnosis is essential for effective management.
    • Penicillin G is the preferred antimicrobial agent.
    • Surgical intervention may be necessary for fibrotic lesions or persistent sinus tracts.