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Submandibular space abscess due to Actinobacillus actinomycetemcomitans.

R A Salman, S J Bonk, D G Salman

    Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
    |December 1, 1986
    PubMed
    Summary

    A submandibular space abscess caused by Actinobacillus actinomycetemcomitans was successfully treated with surgical drainage and antibiotics. This bacterium is often overlooked but requires specific microbiologic testing for proper management.

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    Area of Science:

    • Oral and Maxillofacial Surgery
    • Infectious Diseases
    • Microbiology

    Background:

    • Submandibular space abscesses can arise from various bacterial infections.
    • Accurate identification of the causative agent is crucial for effective treatment.
    • Actinobacillus actinomycetemcomitans is a potential pathogen that may be overlooked.

    Observation:

    • A case of submandibular space abscess is presented.
    • A pure culture of Actinobacillus actinomycetemcomitans was isolated.
    • This bacterium exhibits slow growth and requires carbon dioxide for isolation.

    Findings:

    • Actinobacillus actinomycetemcomitans can be a causative agent of submandibular space abscesses.
    • The bacterium is often resistant to standard antibiotic regimens.

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  • Effective management necessitates precise microbiologic identification and clinical assessment.

    • Implications:

    • Clinicians should consider Actinobacillus actinomycetemcomitans in submandibular abscess cases.
    • Appropriate diagnostic methods are essential for identifying this slow-growing bacterium.
    • Prompt surgical intervention combined with targeted antibiotic therapy can lead to successful resolution.