Cervico-Facial Actinomycosis: Epidemiological and Clinical Comments

Tortorici, Silvia; Burruano, F; Buzzanca, Maria Lidia; P, Difalco; Cabibi, Daniela; Emiliano, Maresi

doi:10.3844/ajidsp.2008.204.208

Cited by 11 publications

(10 citation statements)

References 18 publications

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“…Actinomycosis can present as a chronic, slowly progressive infiltration, or as a more acute and rapidly progressive swelling (24). In accordance with the literature (7,13,14,16,17,21,22,25) our patients presented with persistent, sometimes recurrent swellings, which were both tender and non-tender, and non-responsive to short-term oral antibiotics. Most studies describe a latency of infection ranging from a few weeks to over one year (12,14-17,20-23,26), whereas most of our patients presented within one week of start of symptoms.…”

Section: Discussionsupporting

confidence: 91%

Treatment of cervicofacial Actinomycosis: A report of 19 cases and review of literature

et al. 2013

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Objectives: Actinomycosis is a chronic suppurative granulomatous infection caused by the Actinomyces genus. Orocervicofacial actinomycosis is the most common form of the disease, seen in up to 55% of cases. All forms of actinomycosis are treated with high doses of intravenous penicillin G over two to six weeks, followed by oral penicillin V. Large studies on cervicofacial actinomycosis are lacking. Therefore proper guidelines for treatment and treatment duration are difficult to establish. The aim of this study is to establish effective treatment and treatment duration for orocervicofacial actinomycosis. Study design: A Pubmed and Embase search was performed with the focus on treatment and treatment duration for cervicofacial actinomycosis. The hospital records of all patients presenting to our department with head and neck infection from January 2000 to December 2010 were reviewed, retrospectively. The following data were collected: age, gender, clinical presentation, aetiology, duration of symptoms, microbiological findings, treatment, and duration of treatment. The treatment and treatment duration is subsequently compared to the literature. Results: The literature search provided 12 studies meeting the inclusion criteria. All studies were retrospective in nature. Penicillin or amoxicillin/clavulanic acid are the preferred antibiotic regimens found in the literature. Most of our patients were treated with a combination of penicillin G 12 million units/day and metronidazol 500 mg 3/day, most commonly for a duration of 1 – 4 weeks, being shorter than the 3 – 52 weeks reported in the literature. Conclusion: When actinomycosis is suspected, our review has shown that a surgical approach in combination with intravenous penicillin and metronidazol until clinical improvement is seen, followed by oral antibiotics for 2 – 4 weeks is generally efficient. Key words:Actinomycosis, actinomyces, actinomycosis treatment, cervicofacial infection, actinomycosis diagnosis, head and neck infection.

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Section: Discussionsupporting

confidence: 91%

Treatment of cervicofacial Actinomycosis: A report of 19 cases and review of literature

et al. 2013

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“…Ennek fordításából származik a helytelen magyar elnevezés is: sugárgomba-betegség, az actinomycosist azonban ma már egyértelműen a bakteriális megbetegedések közé sorolják. Az actinomycesek jellegzetessége, hogy a gombákkal ellentétben kitin nem vesz részt a sejtfal felépítésében, ezzel szemben a muraminsav igen [28]. Antibakteriális kezelésre érzékenyek, antifungálisra azonban nem.…”

Section: Bevezetésunclassified

A cervicofaciális actinomycosisok jellemzői és korszerű diagnosztikája: összefoglaló az irodalmi adatok alapján

et al. 2020

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Humán infekciókban igazolt patogén szerepben leírt Actinomyces fajok A. bovis A. graevenitzii A. nasicola A. radingae A. cardiffiensis A. hominis A. neuii A. timonensis A. dentalis A. hongkongiensis A. odontolyticus A. turicensis A. europaeus A. israelii A. oris A. urogenitalis A. funkei A. massiliensis A. oricola A. viscous A. georgiae A. meyeri A. pyogenes számos, még nem definiált geno-species A. gerencseriae A. naeslundii A. radicidentis A félkövér betűvel jelzett fajok okozzák a humán infekciók több mint 90%-át. Az A. odontolyticus és az A. meyeri a cervicofaciális régióban a leggyakoribb, míg az A. gerencseriae és az A. israelii minden más anatómiai régióban jelentős. Az actinomycosisok diagnosztikai algoritmusának összefoglalása FOGORVOSI SZEMLE 113. évf. 3. sz. 2020. n 104 A 2020. évben végzett fogorvostan-hallgatók doktorrá avatása cytology of cervicofacial actinomycosis.

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“…Parotid and submandibular glands and the mandible are mostly affected [3]. The so-called "lumpy jaw" includes both soft and hard tissue of the head and neck regions [4]. Other localizations include the chest (pulmonary actinomycosis), abdomen, and pelvis.…”

Section: Introductionmentioning

confidence: 99%

“…The bacterial infection always involves several genera of bacteria, which synergistically interact. However, the disease may not be diagnosed correctly unless the tissue is biopsied and the Actinomyces colonies are identified [4]. Actinomycosis is four times more common in men than in women and affects especially men between 20 and 60 years of age [5].…”

Section: Introductionmentioning

confidence: 99%

Actinomycosis as a Rare Local Manifestation of Severe Periodontitis

Kaldas

Barghorn²,

Schmidlin

2020

Case Reports in Dentistry

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Actinomycosis is a chronic suppurative infection primarily caused by anaerobic gram-positive filamentous bacteria, primarily of the genus Actinomyces. Oral-cervicofacial actinomycosis is the localization found most often, presenting as a soft tissue swelling, an abscess, a mass lesion, or sometimes an ulcerative lesion. Periodontitis-like lesions, however, are rare findings. This report describes the case of a 41-year-old healthy female patient (nonsmoker), who was referred to the clinic with dull and throbbing pain in the second quadrant. Tooth 25 showed increased mobility and probing pocket depths up to 10 mm, with profuse bleeding upon probing. Radiographically, considerable interproximal horizontal bone loss was found, and the diagnosis of periodontitis stage 3, grade C was made. The situation was initially stabilized with adhesive splinting and local anti-infective therapy. Two weeks later, the bone defect was treated with guided tissue regeneration (GTR) using a xenogenic filler material (BioOss Collagen) and a resorbable membrane (Bio-Gide). Due to a suspicious appearance of the excised granulation tissue, the collected fragments were sent for histopathological evaluation. This evaluation revealed a chronic granulomatous inflammation with the presence of filamentous bacterial colonies, consistent with Actinomyces. The patient was successfully treated. While there are only few reports in the literature, actinomycotic lesions represent a rare but possible finding in cases with localized periodontal destruction. In conclusion, systematic biopsy of the infrabony tissue in localized periodontal lesions may help to provide a more accurate counting of Actinomyces-associated lesions, thereby improving diagnosis, therapy, and prevention.

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Cervico-Facial Actinomycosis: Epidemiological and Clinical Comments

Cited by 11 publications

References 18 publications

Treatment of cervicofacial Actinomycosis: A report of 19 cases and review of literature

Treatment of cervicofacial Actinomycosis: A report of 19 cases and review of literature

A cervicofaciális actinomycosisok jellemzői és korszerű diagnosztikája: összefoglaló az irodalmi adatok alapján

Actinomycosis as a Rare Local Manifestation of Severe Periodontitis

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