A case of maxillary osteomyelitis involving <i>Actinomyces </i>infection after loss of a tooth

  • MUKAI Takao
    Department of Dentistry, Oral and Maxillofacial Surgery, Osaka Rosai Hospital
  • TAKAO Kana
    Department of Dentistry, Oral and Maxillofacial Surgery, Osaka Rosai Hospital
  • MATSUURA Reika
    Department of Dentistry, Oral and Maxillofacial Surgery, Osaka Rosai Hospital
  • YAMADA Chiaki
    Course for Integrated Oral Sciences and Stomatology, Division of Pathogenesis and Control of Oral Diseases, Osaka University, Graduated School of Dentistry (First Department of Oral and Maxillofacial Surgery)
  • YOSHIOKA Hideo
    Department of Dentistry, Oral and Maxillofacial Surgery, Osaka Rosai Hospital

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Other Title
  • 歯の脱落後に発症した放線菌感染を伴う上顎骨骨髄炎の1例
  • ハ ノ ダツラクゴ ニ ハッショウ シタ ホウセンキン カンセン オ トモナウ ジョウガクコツ コツズイエン ノ 1レイ
  • A case of maxillary osteomyelitis involving Actinomyces infection after loss of a tooth

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Abstract

Actinomycosis is a specific inflammatory disease involving mixed infection that chiefly shows trismus, board-like swelling, and multiple abscess; however, it has recently become difficult to diagnose actinomycosis bacteriologically and rare for patients to show typical symptoms because of the frequent use of antibiotics. We report a case of maxillary sequestration involving Actinomyces infection after loss of a tooth.<br>The patient, a 54-year-old man, visited our hospital because of continuous oozing, swelling, and pain in the maxillary gingiva persisting for 9 months after loss of the right maxillary second premolar. X-ray examination revealed a radiopaque image with an irregular margin in the alveolar bone. The hard tissue in the socket removed surgically for a tentative diagnosis of the maxillary osteomyelitis was diagnosed histologically as maxillary sequestration with Actinomyces infection. Symptoms such as exudates, swelling, and pain in the maxillary gingiva resolved completely after surgery. Currently, 3 years after surgery, the patient has made favorable progress.

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