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Acute cervico-facial actinomycosis
1Department of Oral Surgery, School of Dental Medicine, University of Berne, Switzerland.
International Journal of Oral and Maxillofacial Surgery
|August 1, 1987
Summary
Cervico-facial actinomycosis, an uncommon jaw infection, can present acutely. Diagnosis involves pus analysis and culture, with successful treatment via surgical removal and clindamycin.
Area of Science:
- Oral Surgery
- Infectious Diseases
- Microbiology
Background:
- Cervico-facial actinomycosis is an uncommon oral and jaw infection.
- It is often chronic but can manifest acutely, necessitating inclusion in differential diagnoses.
Observation:
- A study reviewed 37 cases of jaw infections treated with extraoral incision.
- Three cases (8%) were diagnosed with acute actinomycosis.
Findings:
- Diagnosis involved aseptic pus aspiration, microscopic identification of gram-positive branched filaments, and cultivation of Actinomyces israelii.
- Confirmation utilized anaerobic culture, biochemical tests, and gas-liquid chromatography.
Implications:
- Acute actinomycosis requires consideration in jaw infection differential diagnoses.
- Successful treatment involved surgical excision of infected foci and a 16-day course of oral clindamycin.