Mandibular Actinomyces osteomyelitis complicating florid cemento-osseous dysplasia: case report
Identifieur interne : 003781 ( Ncbi/Checkpoint ); précédent : 003780; suivant : 003782Mandibular Actinomyces osteomyelitis complicating florid cemento-osseous dysplasia: case report
Auteurs : Miller H. Smith [États-Unis] ; Paul W. Harms [États-Unis] ; Duane W. Newton [États-Unis] ; Bill Lebar [États-Unis] ; Sean P. Edwards [États-Unis] ; David M. Aronoff [États-Unis]Source :
- BMC Oral Health [ 1472-6831 ] ; 2011.
Abstract
Apart from neoplastic processes, chronic disfiguring and destructive diseases of the mandible are uncommon.
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
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.
Url:
DOI: 10.1186/1472-6831-11-21
PubMed: 21777471
PubMed Central: 3151221
Affiliations:
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Harms</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Pathology, University of Michigan Medical School, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, University of Michigan Medical School, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation></author><author><name sortKey="Newton, Duane W" sort="Newton, Duane W" uniqKey="Newton D" first="Duane W" last="Newton">Duane W. Newton</name><affiliation wicri:level="1"><nlm:aff id="I3">Clinical Microbiology Laboratories, Department of Pathology, University of Michigan Medical School, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Clinical Microbiology Laboratories, Department of Pathology, University of Michigan Medical School, 1150 W. 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Smith</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Oral and Maxillofacial Surgery, University of Michigan Medical School, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University of Michigan Medical School, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation></author><author><name sortKey="Harms, Paul W" sort="Harms, Paul W" uniqKey="Harms P" first="Paul W" last="Harms">Paul W. Harms</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Pathology, University of Michigan Medical School, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, University of Michigan Medical School, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation></author><author><name sortKey="Newton, Duane W" sort="Newton, Duane W" uniqKey="Newton D" first="Duane W" last="Newton">Duane W. Newton</name><affiliation wicri:level="1"><nlm:aff id="I3">Clinical Microbiology Laboratories, Department of Pathology, University of Michigan Medical School, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Clinical Microbiology Laboratories, Department of Pathology, University of Michigan Medical School, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation></author><author><name sortKey="Lebar, Bill" sort="Lebar, Bill" uniqKey="Lebar B" first="Bill" last="Lebar">Bill Lebar</name><affiliation wicri:level="1"><nlm:aff id="I3">Clinical Microbiology Laboratories, Department of Pathology, University of Michigan Medical School, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Clinical Microbiology Laboratories, Department of Pathology, University of Michigan Medical School, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation></author><author><name sortKey="Edwards, Sean P" sort="Edwards, Sean P" uniqKey="Edwards S" first="Sean P" last="Edwards">Sean P. Edwards</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Oral and Maxillofacial Surgery, University of Michigan Medical School, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University of Michigan Medical School, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation></author><author><name sortKey="Aronoff, David M" sort="Aronoff, David M" uniqKey="Aronoff D" first="David M" last="Aronoff">David M. Aronoff</name><affiliation wicri:level="1"><nlm:aff id="I4">Division of Infectious Diseases, Department of Internal Medicine, University of Michigan Medical School, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, Department of Internal Medicine, University of Michigan Medical School, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I5">Department of Microbiology and Immunology, University of Michigan Medical School, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Microbiology and Immunology, University of Michigan Medical School, 1150 W. Medical Center Drive, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Oral Health</title><idno type="eISSN">1472-6831</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Apart from neoplastic processes, chronic disfiguring and destructive diseases of the mandible are uncommon.</p></sec><sec><title>Case Presentation</title><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 <italic>Actinomyces </italic>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 <italic>Actinomyces </italic>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></sec><sec><title>Conclusions</title><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></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Russo, Ta" uniqKey="Russo T">TA Russo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sharkawy, Aa" uniqKey="Sharkawy A">AA Sharkawy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brook, I" uniqKey="Brook I">I Brook</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rankow, Rm" uniqKey="Rankow 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uniqKey="Schwartz Arad D">D Schwartz-Arad</name></author><author><name sortKey="Teicher, S" uniqKey="Teicher S">S Teicher</name></author><author><name sortKey="Hirshberg, A" uniqKey="Hirshberg A">A Hirshberg</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Smith, Miller H" sort="Smith, Miller H" uniqKey="Smith M" first="Miller H" last="Smith">Miller H. Smith</name></noRegion><name sortKey="Aronoff, David M" sort="Aronoff, David M" uniqKey="Aronoff D" first="David M" last="Aronoff">David M. Aronoff</name><name sortKey="Aronoff, David M" sort="Aronoff, David M" uniqKey="Aronoff D" first="David M" last="Aronoff">David M. Aronoff</name><name sortKey="Edwards, Sean P" sort="Edwards, Sean P" uniqKey="Edwards S" first="Sean P" last="Edwards">Sean P. Edwards</name><name sortKey="Harms, Paul W" sort="Harms, Paul W" uniqKey="Harms P" first="Paul W" last="Harms">Paul W. Harms</name><name sortKey="Lebar, Bill" sort="Lebar, Bill" uniqKey="Lebar B" first="Bill" last="Lebar">Bill Lebar</name><name sortKey="Newton, Duane W" sort="Newton, Duane W" uniqKey="Newton D" first="Duane W" last="Newton">Duane W. Newton</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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