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Acute cervico-facial actinomycosis

Identifieur interne : 004577 ( Istex/Curation ); précédent : 004576; suivant : 004578

Acute cervico-facial actinomycosis

Auteurs : Peter Martin Nielsen [Suisse] ; Alice Novak [Suisse]

Source :

RBID : ISTEX:8C09B6EEEE6226042E2F5AFB59992BAE93C28649

Descripteurs français

English descriptors

Abstract

Abstract: Cervico-facial actinomycosis still occurs occasionally and should be included in the differential diagnosis of infectious processes in the jaws and the oral cavity. The typical actinomycosis-cases are clinically chronic in nature; however actinomycosis may be atypical with subacute or acute clinical manifestations. Among 37 cases of infectious processes in the jaws treated with extraoral incision between 1980 and 1985 in the Department of Oral Surgery, School of Dental Medicine, University of Berne, 3 (8%) were diagnosed as acute actinomycosis according to the following procedure. Prior to incision, pus was aspired under aseptic conditions. Presence of gram-positive branched filaments in the microscopically examined pus led to the suspicion of actinomycosis. This diagnosis was confirmed by cultivation of Actinomyces israeld using the anaerobic culture method, biochemical characteristics and gas-liquid chromatographic analysis of metabolic products. These 3 actinomycosis-cases were succesfully treated by surgical removal of the suspicious foci and by administration of clindamycin peros for 16 days.

Url:
DOI: 10.1016/S0901-5027(87)80081-4

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Le document en format XML

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<term>Alternative treatment</term>
<term>Amoxycillin</term>
<term>Anaerobic</term>
<term>Anaerobic bacteria</term>
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<term>Anesthesia</term>
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<term>Antibiotic therapy</term>
<term>Antibiotic treatment</term>
<term>Atypical</term>
<term>Atypical cases</term>
<term>Central fluctuation</term>
<term>Cervicofacial actinomycosis</term>
<term>Chromatographic analysis</term>
<term>Chronic actinomycosis</term>
<term>Clean glass slide</term>
<term>Clindamycin</term>
<term>Clinical appearance</term>
<term>Cyst</term>
<term>Cyst enucleation</term>
<term>Cystic osteolysis</term>
<term>Definitive diagnosis</term>
<term>Dental medicine</term>
<term>Differential diagnosis</term>
<term>Extraoral</term>
<term>Extraoral incision</term>
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<term>Infectious processes</term>
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<term>Antibiotic therapy</term>
<term>Antibiotic treatment</term>
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<term>Central fluctuation</term>
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<term>Chromatographic analysis</term>
<term>Chronic actinomycosis</term>
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<term>Clindamycin</term>
<term>Clinical appearance</term>
<term>Cyst</term>
<term>Cyst enucleation</term>
<term>Cystic osteolysis</term>
<term>Definitive diagnosis</term>
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<term>Differential diagnosis</term>
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<term>Infectious processes</term>
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<term>Local anesthesia</term>
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<term>Metabolic products</term>
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<term>Microscopic examination</term>
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<term>Odontogenic origin</term>
<term>Oral amoxycillin</term>
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<term>Orofacial infections</term>
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<term>Retrospective study</term>
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<div type="abstract" xml:lang="en">Abstract: Cervico-facial actinomycosis still occurs occasionally and should be included in the differential diagnosis of infectious processes in the jaws and the oral cavity. The typical actinomycosis-cases are clinically chronic in nature; however actinomycosis may be atypical with subacute or acute clinical manifestations. Among 37 cases of infectious processes in the jaws treated with extraoral incision between 1980 and 1985 in the Department of Oral Surgery, School of Dental Medicine, University of Berne, 3 (8%) were diagnosed as acute actinomycosis according to the following procedure. Prior to incision, pus was aspired under aseptic conditions. Presence of gram-positive branched filaments in the microscopically examined pus led to the suspicion of actinomycosis. This diagnosis was confirmed by cultivation of Actinomyces israeld using the anaerobic culture method, biochemical characteristics and gas-liquid chromatographic analysis of metabolic products. These 3 actinomycosis-cases were succesfully treated by surgical removal of the suspicious foci and by administration of clindamycin peros for 16 days.</div>
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