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Actinomycosis--an unusual presentation

S Appiah-Anane1, M Tickle

  • 1Garston Health Centre, Liverpool.

The British Journal of Oral & Maxillofacial Surgery
|August 1, 1995
PubMed
Summary
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This study details an unusual case of orofacial actinomycosis, a bacterial infection, that appeared as a minor salivary gland tumor on the upper lip. Diagnosis was confirmed via histology, identifying Actinomyces israelii as the causative agent.

Area of Science:

  • Oral pathology
  • Infectious diseases
  • Dermatology

Background:

  • Orofacial actinomycosis is a rare bacterial infection caused by Actinomyces species.
  • It can present with diverse clinical manifestations, sometimes mimicking other pathologies.
  • Minor salivary gland tumors are neoplasms affecting the salivary glands, commonly found in the upper lip.

Observation:

  • An unusual case of orofacial actinomycosis was observed.
  • The lesion clinically mimicked a minor salivary gland tumor of the upper lip.
  • Histological examination was performed for definitive diagnosis.

Findings:

  • Histological examination confirmed the diagnosis of orofacial actinomycosis.
  • The lesion is believed to have originated from an infected mucocele of the upper lip.

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  • Actinomyces israelii, a common oral commensal bacterium, was identified as the causative agent.

    • Implications:

    • This case highlights the importance of considering infectious etiologies in the differential diagnosis of upper lip lesions.
    • Early and accurate diagnosis of orofacial actinomycosis is crucial for appropriate management.
    • Understanding the pathogenesis, including the role of mucoceles, aids in recognizing and treating this condition.