Actinomycotic Osteomyelitis of the Mandible: A Case Report
이영철, 임이랑, 이규훈, 서동준, 윤나라, 오지수, 유재식, 최해인,
소속 상세정보
이영철 ( Lee Young-Cheol ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
임이랑 ( Lim Lee-Rang ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
이규훈 ( Lee Kyu-Hoon ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
서동준 ( Seo Dong-Jun ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
윤나라 ( Yun Na-Ra ) - Chosun University College of Medicine Department of Internal Medicine
오지수 ( Oh Ji-Su ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
유재식 ( You Jae-Seek ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
최해인 ( Choi Hae-In ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
Abstract
Actinomycosis is rare, chronic, slowly progressive disease caused by gram-positive anaerobic organisms from the Actinomycosis family that normally colonizes the oral cavity. Actinomycotic osteomyelitis is even more rare and refractory disease because diagnosis by bacterial culture is not easy. In our case, 80-year-old man visited our clinic with a complaint of swelling and severe sinus tracts without teeth evolvement on anterior mandible. Computed tomography (CT) scan demonstrated erosive bone destruction on anterior mandible, clinically suspected actinomycotic osteomyelitis. The patient also had thoracic actinomycosis on Lt. lower lung. We could diagnosis actinomycosis by histopathologic examination. He treated by conservative surgery and long term antibiotics. After 2 year, no recurrence was seen in CT scan.
키워드
Actinomycosis; Actinomycotic osteomyelitis
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