Mandibular <it>Actinomyces </it>osteomyelitis complicating florid cemento-osseous dysplasia: case report

• Principais autores: Edwards Sean P (Autor), Lebar Bill (Autor), Newton Duane W (Autor), Harms Paul W (Autor), Smith Miller H (Autor), Aronoff David M (Autor)
• Formato: Livro
• Publicado em: BMC, 2011-07-01T00:00:00Z.
• Assuntos: article
• Acesso em linha: Connect to this object online.
• Notes: 10.1186/1472-6831-11-21; 1472-6831
• Keywords: Dentistry; RK1-715
• Source: BMC Oral Health, Vol 11, Iss 1, p 21 (2011)

<p>Abstract</p> <p>Background</p> <p>Apart from neoplastic processes, chronic disfiguring and destructive diseases of the mandible are uncommon.</p> <p>Case Presentation</p> <p>We report, perhaps for the first time, the simultaneous occurrence of two such conditions in one patient, in a case that emphasizes the importance of bone biopsy in establishing the correct diagnosis. Florid cemento-osseous dysplasia (FCOD) is a chronic, disfiguring condition of the maxillofacial region. This relatively benign disease is primarily observed in middle-aged women of African ancestry. Cervicofacial actinomycosis is an uncommon and progressive infection caused by bacilli of the <it>Actinomyces </it>genus that typically involves intraoral soft tissues but may also involve bone. The accurate diagnosis of actinomycosis is critical for successful treatment. A diagnosis of osteomyelitis caused by <it>Actinomyces </it>bacteria was diagnosed by bone biopsy in a 53 year-old African-American woman with a longstanding history of FCOD after she presented with a new draining ulcer overlying the mandible.</p> <p>Conclusions</p> <p>Clinicians should be aware of the possibility of actinomycosis arising in the setting of FCOD, and the importance of bone biopsy and cultures in arriving at a definitive and timely diagnosis.</p>