Cardiac Tamponade Due to Actinomyces odontolyticus Originating From a Dentigerous Cyst

Broly, Elyette; Risse, Jacques; Maschino, François; Wahl, D

doi:10.1016/j.joms.2016.05.014

Cited by 4 publications

(5 citation statements)

References 9 publications

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“…A. odontolyticus is a resident bacterium of the oral cavity (being the main responsible for tooth biofilm formation), pharynx, distal esophagus, and distal urinary tract [1,36]. This pathogen has been reported to cause orocervicofacial [37][38][39], laryngeal [40,41], thoracic [42,43], renal [44,45], and pelvic actinomycosis [46,47], infection of the penile shaft [4], peritonitis [48], cholecystitis [49], liver abscesses [50,51], chronic conjunctivitis [52], spinal and brain abscesses (including meningitis) [53][54][55], foot, finger, arm abscesses [56][57][58], and other soft tissues involvement, such as cutaneous abscesses [59,60], osteomyelitis [61,62], purulent pericarditis [63,64], endocarditis [65], and BSI [66][67][68][69]. Looking at implant-associated infections with the contribution of A. odontolyticus, besides PVGI caused by A. odontolyticus [10,14,16,17], reports exist on endocarditis related to implantable cardioverter defibrillator [70], IUCD-associated pelvic actinomycosis [71,…”

Section: Discussionmentioning

confidence: 99%

“…Looking at implant-associated infections with the contribution of A. odontolyticus, besides PVGI caused by A. odontolyticus [10,14,16,17], reports exist on endocarditis related to implantable cardioverter defibrillator [70], IUCD-associated pelvic actinomycosis [71,72], and dental implant fixtures infection [73]. Dental or oral conditions [54,63,64], intravenous drug abuse [60,67], toothpick skin puncture [56], surgery of the gastrointestinal tract [62], laryngeal injections [41], and urologic procedures [4,45,74] have been implicated in A. odontolyticus infection.…”

Section: Discussionmentioning

confidence: 99%

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Actinomyces spp. Prosthetic Vascular Graft Infection (PVGI): A Multicenter Case-Series and Narrative Review of the Literature

Del Fabro,

Volpi,

Fumarola

et al. 2023

Microorganisms

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Background: Actinomycosis represents a challenging and under-reported complication of vascular surgery. Optimal management of Actinomyces spp. prosthetic vascular graft infection (PVGI) is highly uncertain because of the paucity of reports on this disease. Methods: We conducted a retrospective case-series of Actinomyces-PVGI that occurred in the last five years in two major university hospitals in northern Italy. We searched for previously published cases in the scientific literature. Results: We report five original cases of Actinomyces spp. prosthetic vascular graft infection following aortic aneurysm repair. Our literature review retrieved eight similar cases. Most patients were immunocompetent males. Most infections were polymicrobial (11/13 cases), with a prevalence of A. odontolyticus involvement (3/13 cases were associated with. Salmonella spp. infection). All cases had a late presentation (≥4 months from graft placement), with 61% associated with an aorto-enteric fistula. All patients received antibiotic therapy, but the duration was highly heterogeneous (from two weeks to life-long antibiotics). The patients without surgical revision experienced septic recurrences (2/13), permanent dysfunction (1/13), or a fatal outcome (2/13), while of the remainder who underwent vascular graft explant, six recovered completely and one developed a periprosthetic abscess. In two cases follow-up was not available. Conclusions: This case-series aims to raise the diagnostic suspicion and to describe the current management of Actinomyces-PVGIs. We highlight a high heterogeneity in antibiotic duration, choice of the antibiotic regimen, and surgical management. Higher reporting rate is advisable to produce better evidence and optimize management of this rare complication of vascular surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Actinomyces spp. Prosthetic Vascular Graft Infection (PVGI): A Multicenter Case-Series and Narrative Review of the Literature

Del Fabro,

Volpi,

Fumarola

et al. 2023

Microorganisms

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“…Cardiac actinomycosis is generally rare. Our search of the literature yielded a total of 29 cases of cardiac actinomycosis ( Table 1 ) [ [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] ]. The majority of cases were males and the median age was 45 years (range 14–81).…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, beta-lactams were the most commonly used antimicrobial therapy agents, as single agents (14, 58.3 %) or in combination (8, 33.3 %). The main reason for use of beta-lactam alternatives was history of penicillin allergy [ 15 , 16 ] or in-vitro non-susceptibility of the isolated strains [ 17 , 41 ].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous coronary intervention-associated Actinomyces oris

Saeed

Adam

Abdallah

et al. 2020

IDCases

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Coronary artery interventions are safe procedures yet have a risk of stent infection, bacteremia and sepsis, events that are rare but with high morbidity and mortality sequel. A few prior cases had reported post percutaneous coronary intervention (PCI) infections, abscesses and sepsis due to Staphylococcus aureus , followed by Pseudomonas aeruginosa. Cardiac Actinomyces infections are extremely rare. Here we report a case of a 50 year old patient who developed a post intervention Actinomyces oris epicardial abscess occluding right coronary artery with subsequent bacteremia eventually requiring open heart surgery. He was treated during and thereafter with IV penicillin and ceftriaxone for almost 8 weeks. We highlight during this review the available literature regarding risk factors, the possible theories of acquiring such bacterium at this unusual site as well as our patient’s course and treatment outcome.

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“…Entre os cistos odontogênicos não inflamatórios, o cisto dentígero é considerado o mais da raiz distal do terceiro molar mandibular, com maior prevalência em pacientes masculinos, de origem caucasiana e na segunda ou terceira décadas de vida [4][5][6][7][8][9][10] . Apesar da etiopatogenia dessa condição ser por muitos, descrito como incerta, acredita-se que a patogênese de tal lesão ocorra devido ao acúmulo de fluidos entre a coroa e o epitélio reduzido do esmalte, podendo ser consequência da pressão exercida por um folículo dentário no processo eruptivo [6][7][8]10 .…”

Section: Introductionunclassified

Enucleação de Cisto Dentígero Associado a Terceiro Molar Inferior: Relato de caso

Gusmão¹,

Neves²,

Inaoka³

et al. 2019

Rev. Iniciaç. Cient. Odontol.

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Introdução: O Cisto Dentígero é uma neoplasia benigna intraóssea, revestida por uma cápsula de tecido epitelial odontogênico, caracterizada pelo envolvimento com a coroa de um dente incluso, principalmente terceiros molares. O procedimento cirúrgico, do tipo enucleação cística, é indicado devido à possibilidade de fraturas patológicas e deformidades ósseas. Objetivo: Descrever a conduta de enucleação cirúrgica realizada em um cisto dentígero em mandíbula associado a um terceiro molar incluso. Relato de caso: Paciente do sexo feminino, 28 anos, encaminhada pelo ortodontista para avaliação cirúrgica, após realização de exame de imagem panorâmico de rotina, onde se evidenciou uma lesão radiolúcida associada à coroa do dente 38 incluso. Clinicamente, não apresentava sinais de infecção e não houve relato de sintomatologia. Devido ao tamanho da lesão, foi realizada com fins de diagnóstico e terapêutico a biópsia excisional associada à exodontia do dente incluso, em seguida, foi realizada a osteotomia periférica, objetivando a remoção de possíveis células satélites. O resultado do exame histopatológico revelou um Cisto Dentígero. Após três meses de acompanhamento, observou-se neoformação óssea e cicatrização tecidual adequada. Conclusão: As lesões císticas são achados comuns na prática clínica. Tendo em vista que tais lesões podem alcançar grandes proporções, resultando em assimetria facial, reforça a indicação de remoção cirúrgica. Para este caso, a enucleação do cisto em conjunto com a exodontia do dente incluso demonstrou-se uma abordagem terapêutica viável para o tratamento dessa patologia. Descritores: Cisto Dentígero. Cistos Odontogênicos. Dente não Erupcionado.

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Cardiac Tamponade Due to Actinomyces odontolyticus Originating From a Dentigerous Cyst

Cited by 4 publications

References 9 publications

Actinomyces spp. Prosthetic Vascular Graft Infection (PVGI): A Multicenter Case-Series and Narrative Review of the Literature

Actinomyces spp. Prosthetic Vascular Graft Infection (PVGI): A Multicenter Case-Series and Narrative Review of the Literature

Percutaneous coronary intervention-associated Actinomyces oris

Enucleação de Cisto Dentígero Associado a Terceiro Molar Inferior: Relato de caso

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