Öz
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.
Anahtar Kelimeler
Kaynakça
- Mabeza GF, Macfarlane J. Pulmonary actinomycosis. Eur Respir 2003;21:545-551.
- Smego RA, Foglia G. Actinomycosis. Clin Infect Dis 1998; 26:1255-1261.
- Alamillos-Granados F.J, Dean Ferrer A, Garcia-Lopez A, Lopez-Rubio F. Actinomycotic ulcer of the oral mucosa: an unusual presentation of oral actinomycosis. Br J Oral Maxillofac Surg 2000;38:121-123.
- Musser LB, Tulumello TN, Hiatt WR. Actinomycosis of the anterior maxilla. Oral Surg Oral Med Oral Pathol 1977;44:21-24.
- Rose LF, Genco RJ, Goldman HM, Cohen DW (eds). Infective forms of gingivostomatitis In Contemporary Periodontics, Philedelphi: The CV Mosby 1990:248-249.
- Ünür M, Onur OD. Aktinomiköz: Ağız hastalıklarının teşhis ve tedavisi. İstanbul Quintessence Yayıncılık 2003.
- Weir JC, Buck WH. Periapical actinomycosis. Report of a case and review of the literature. Oral Surg Oral Med Oral Pathol 1982;54:3363
- Acevedo F, Baudrand R, Letelier LM, Gaete P. Actinomycosis: a great pretender. Case reports of unusual presentations and a review of the literature. Int J Infect Dis 2008;12:358-362.
- Rothschild B, Naples V, Barbian L. Bone manifestations of actinomycosis. Ann Diagn Pathol 2006;10:24-27. Chaudhry SI, Greenspan JS, Actinomycosis in HIV infection: a review of a rare complication. Int J STD AIDS 2000;11:349-355.
- Chen CY, Chen YC, Tang JL, Lin WC, Su IJ, Tien HF. Splenic actinomycotic abscess in a patient with acute myeloid leukemia. Ann Hematol 2002;81:532-534. Dominguez DC, Antony SJ. Actinomyces and nocardia infections in immunocompromised and nonimmunocompromised patients. J Natl Med Assoc 1999;91:35-39.
- Nagler RM, Peled, D. Laufer, Cervicofacial actinomycosis: a diagnostic challenge. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;83:652-656.
- Maurer P, Otto C, Eckert AW, Schubert J. Actinomycosis as a rare complication of orthognathic surgery. Int J Adult Orthodon Orthognath Surg 2002;17:230-233.
- Ermis I, Topalan M, Aydin A, Erer M. Actinomycosis of the frontal and parotid regions. Ann Plast Surg 2001;46:55-58.
- Palonta F, Preti G, Vione N, Cavalot AL. Actinomycosis of the masseter muscle: report of a case and review of the literature. J Craniofac Surg 2003;14:915-918.
- Sudhakar SS, Ross JJ. Short-term treatment of actinomycosis: two cases and a review. Clin Infect Dis 2004;38:444-447.
- Pradhan S, Datta NR, Prasad KN, Ayvagari S, Pandey R. Actinomycosis mimicking carcinoma of the maxillary sinus, Indian J Cancer 1993;30:1-4.
Öz
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.
Anahtar Kelimeler
Kaynakça
- Mabeza GF, Macfarlane J. Pulmonary actinomycosis. Eur Respir 2003;21:545-551.
- Smego RA, Foglia G. Actinomycosis. Clin Infect Dis 1998; 26:1255-1261.
- Alamillos-Granados F.J, Dean Ferrer A, Garcia-Lopez A, Lopez-Rubio F. Actinomycotic ulcer of the oral mucosa: an unusual presentation of oral actinomycosis. Br J Oral Maxillofac Surg 2000;38:121-123.
- Musser LB, Tulumello TN, Hiatt WR. Actinomycosis of the anterior maxilla. Oral Surg Oral Med Oral Pathol 1977;44:21-24.
- Rose LF, Genco RJ, Goldman HM, Cohen DW (eds). Infective forms of gingivostomatitis In Contemporary Periodontics, Philedelphi: The CV Mosby 1990:248-249.
- Ünür M, Onur OD. Aktinomiköz: Ağız hastalıklarının teşhis ve tedavisi. İstanbul Quintessence Yayıncılık 2003.
- Weir JC, Buck WH. Periapical actinomycosis. Report of a case and review of the literature. Oral Surg Oral Med Oral Pathol 1982;54:3363
- Acevedo F, Baudrand R, Letelier LM, Gaete P. Actinomycosis: a great pretender. Case reports of unusual presentations and a review of the literature. Int J Infect Dis 2008;12:358-362.
- Rothschild B, Naples V, Barbian L. Bone manifestations of actinomycosis. Ann Diagn Pathol 2006;10:24-27. Chaudhry SI, Greenspan JS, Actinomycosis in HIV infection: a review of a rare complication. Int J STD AIDS 2000;11:349-355.
- Chen CY, Chen YC, Tang JL, Lin WC, Su IJ, Tien HF. Splenic actinomycotic abscess in a patient with acute myeloid leukemia. Ann Hematol 2002;81:532-534. Dominguez DC, Antony SJ. Actinomyces and nocardia infections in immunocompromised and nonimmunocompromised patients. J Natl Med Assoc 1999;91:35-39.
- Nagler RM, Peled, D. Laufer, Cervicofacial actinomycosis: a diagnostic challenge. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;83:652-656.
- Maurer P, Otto C, Eckert AW, Schubert J. Actinomycosis as a rare complication of orthognathic surgery. Int J Adult Orthodon Orthognath Surg 2002;17:230-233.
- Ermis I, Topalan M, Aydin A, Erer M. Actinomycosis of the frontal and parotid regions. Ann Plast Surg 2001;46:55-58.
- Palonta F, Preti G, Vione N, Cavalot AL. Actinomycosis of the masseter muscle: report of a case and review of the literature. J Craniofac Surg 2003;14:915-918.
- Sudhakar SS, Ross JJ. Short-term treatment of actinomycosis: two cases and a review. Clin Infect Dis 2004;38:444-447.
- Pradhan S, Datta NR, Prasad KN, Ayvagari S, Pandey R. Actinomycosis mimicking carcinoma of the maxillary sinus, Indian J Cancer 1993;30:1-4.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Case Reports |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mayıs 2013 |
| Gönderilme Tarihi | 19 Aralık 2011 |
| Yayımlandığı Sayı | Yıl 2013Cilt: 16 Sayı: 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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