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Cervicofacial actinomycosis after partial mandibular resection: case report

V L Ugboko1, H O Olasoji, E O Ogunbodede

  • 1Faculty of Dentistry, Obafemi Awolowo University, Ile-Ife, Nigeria.

East African Medical Journal
|June 26, 1998
PubMed
Summary

This report details a rare cervicofacial actinomycosis case in a Nigerian male following mandibular surgery. Prompt diagnosis and treatment are crucial to prevent complications from this unusual infection.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Infectious Diseases
  • Medical Case Reports

Background:

  • Cervicofacial actinomycosis is a rare bacterial infection.
  • Surgical procedures, like mandibular resection, may increase risk.
  • Plexiform ameloblastoma is a rare odontogenic tumor.

Observation:

  • A 60-year-old Nigerian male presented with cervicofacial actinomycosis.
  • The patient had undergone partial mandibular resection for plexiform ameloblastoma one year prior.
  • A Kirschner wire was used as a splint during the previous surgery.

Findings:

  • The case highlights an unusual presentation of cervicofacial actinomycosis.
  • Potential pathophysiology involves post-surgical complications or hematogenous spread.

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  • Actinomycosis can manifest in diverse ways, mimicking other conditions.

    • Implications:

    • Clinicians should consider actinomycosis in the differential diagnosis of cervicofacial infections, especially post-surgery.
    • Awareness of the disease's varied presentations and natural history is vital for timely diagnosis.
    • Prompt and appropriate treatment is essential to avoid severe complications of actinomycosis.