Actinomyces are anaerobic Gram-positive prokaryotic bacteria belonging to the family Actinomyceataceae. They can be found in calculus, periodontal pockets, carious lesions, oral mucosal surfaces, upper respiratory tract, gastrointestinal, and female genital mucosa. Approximately 55-60 % of actinomycotic infections in human are originated cervicofacial region. A. israelii is the main species responsible for the human disease. Actinomycosis involving the maxilla usually is seen as a localized intraoral infection in contrast to classical cervicofacial actinomycosis. Formation of draining sinuses, local swelling, and pain are the most common presenting symptoms. We report a case of actinomyces infection that was localized maxillary molar tooth and association with maxillary sinus in a 39 years old woman. After seven days antibiotic therapy surgical curettage therapy was performed to patient. During monthly recalls for 3 months no recurrence was noted and the infected area has been healed completely.
Aktinomiçes; Actinomyceataceae ailesinde yer alan anaerobik gram pozitif prokaryotik bir bakteridir. Diş taşında, periodontal cepte, çürük lezyonlarında, oral mukozal yüzeylerde, üst solunum yollarında, GİS’de ve kadın genital mukozasında bu mikroorganizmaya rastlanabilir. Aktinomiçes enfeksiyonlarının % 55-60’ında etken, servikofasiyal bölge kaynaklıdır. İnsanlardaki ana sorumlu olan tip ise A.israelii’dir. Klasik aktinomiçes enfeksiyonlarından farklı olarak maksillayı içine alan aktinomiçes vakaları generalize olmayıp lokalize yerleşimlidir. Sinüslerden drenaj, ağrı ve lokal şişlik en sık rastlanılan semptomlardır. Bu vaka 39 yaşında bayan hastanın, sol maksiller azı dişleri bölgesinde yerleşimli ve maksiller sinüs ile ilişkili aktinomiçes enfeksiyonu sunulmaktadır. Hastaya 7 günlük antibiyotik tedavisini takiben cerrahi küretaj uygulanmış olup, hastanın 3 aylık takibinde herhangi bir nüks olmadığı ve bölgenin tamamen iyileştiği tespit edilmiştir.
Primary Language | Turkish |
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Subjects | Health Care Administration |
Journal Section | Case Reports |
Authors | |
Publication Date | May 1, 2013 |
Submission Date | December 19, 2011 |
Published in Issue | Year 2013Volume: 16 Issue: 2 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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