{Reference Type}: Case Reports
{Title}: Actinomyces-induced Osteomyelitis of the Mandible - A Rare Disease?
{Author}: Nieves-Velez C;Rivera-Gonzalez G;Antony S;
{Journal}: Infect Disord Drug Targets
{Volume}: 24
{Issue}: 6
{Year}: 2024 01 30
暂无{DOI}: 10.2174/0118715265275102231217155015
{Abstract}: <B>BACKGROUND: </B>Actinomyces species are commensal oral cavity flora that can cause jaw osteomyelitis. Osteomyelitis of the jaw by Actinomyces is rare, and its presentation can be confused with many different pathologies.<BR><B>METHODS: </B>This is the case of a 61-year-old female with breast cancer and on chemotherapy as well as non-invasive carcinoma of the tongue who initially presented to the dentist with white spots in the right mandible near the incisors associated with right mandible pain and swelling. Actinomyces-induced osteomyelitis of the mandible was diagnosed. The patient was treated with penicillin V for 6 weeks along with a course of hyperbaric oxygen therapy, which resulted in the complete resolution of the infection.<BR><B>CONCLUSIONS: </B>In summary, jaw osteomyelitis caused by Actinomyces should always be part of the differential diagnosis; as these organisms are commensal flora. The symptoms manifested are non-specific, and such a diagnosis could be easily missed, resulting in delay of care and disease progression.