A PATHOLOGICAL FRACTURE OF THE MANDIBLE DUE TO ACTINOMICOSIS OSTEOMYELİTİS: A CASE REPORT

Abstract

Actinomycosis is a specific and chronic infection caused by gram-positive anaerobic bacteria which is mostly miss diagnosed as fungal infections. While the cervicofacial form has the highest prevelance, it can also be seen in thorax, abdominal and genital region. In this case we reported a pathologic fracture treatment caused by actinomycosis infection. 64 years-old male patients refered to our clinic with pain on left mandibular angulus. Patient is treated with a diagnose of a fracture due to actinomycosis infection after the clinical, radiologic and microbyologic examinations. After the treatment, patient recovered uneventfully and the development of/any pathology was not detected according to clinic and radiographic examination

Keywords

• Actinomycosis, pathological fracture, fracture fixation

AKTİNOMİKOZ OSTEOMYELİTİNE BAĞLI PATOLOJİK MANDİBULA FRAKTÜRÜ: OLGU SUNUMU

Abstract

Aktinomikozis mantar enfeksiyonu gibi görülse de anaerob gram(+) bakterilerinin meydana getirdiği spesifik ve kronik bir enfeksiyondur. Toraks, abdominal bölge ve genital bölgelerde görülebilmekle beraber en sık servikofasial bölgede izlenir. Bu olgu sunumunda aktinomikoz enfeksiyonu nedeniyle oluşan bir patolojik fraktürün tedavisini anlatmayı amaçladık. 64 yaşındaki erkek hasta, alt çene sol angular bölgesindeki ağrı şikayeti ile kliniğimize başvurmuştur. Yapılan klinik, radyolojik ve mikrobiyolojik değerlendirmeler sonrasında hasta, aktinomikoz enfeksiyonuna bağlı patolojik fraktür tanısıyla tedavi edilmiştir. Hastanın tedavi sonrasında yapılan klinik ve radyolojik takibinde, sorunsuz olarak iyileştiği ve herhangi bir patoloji gelişmediği tespit edilmiştir.

Keywords

• Aktinomikozis, patolojik fraktür, fraktür fiksasyonu

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