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

Öz

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

Anahtar Kelimeler

• Actinomycosis, pathological fracture, fracture fixation

AKTİNOMİKOZ OSTEOMYELİTİNE BAĞLI PATOLOJİK MANDİBULA FRAKTÜRÜ: OLGU SUNUMU

Öz

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.

Anahtar Kelimeler

• Aktinomikozis, patolojik fraktür, fraktür fiksasyonu

Kaynakça

1. Robert E. Marx, Diane Stern, Oral and Maillofacial Pathology: A Rationale for Diagnosis and Treatment. 2003 Quintessence Publishing Co, Inc.
2. Herman WW, Whitaker SB, Williams MF, Sangueza OP. Acute actinomycosis presenting as an ulcerated palatal mass . J Oral Maxillofac Surg 1998;56:1098-101.
3. Rubin MM, Krost B. Actinomycosis Presenting as a midline palatal defect. J Oral Maxillofac Surg 1995;53:701-3.
4. Russo TA: Agents of actinomycosis , in Mandell GL, Bennett JE, Dolin R (eds): Principles and Practice of infectious Disease (ed 4). New York, NY, Churchill Livingstone, 1995. p. 2280-2288.
5. Chung Ji Liu, Kuo Ming Chang, Chia Teh Ou. Actinomycosis in a patient treated for maxillary osteoradionecrosis. J Oral Maxillofac Surg 1998;56:251-3.
6. Kaya GŞ, Yalçın E, Aras MH, Gürsan N. Kronik osteomyelitin postoperatif komplikasyonu ve tedavisi. J Dent Fac Atatürk 2011;21:39-42.
7. Bennoff DF: Actinomycosis: Diagnostic and therapeutic considerations and a rewiev of 32 cases. Laryngoscope 1984;94:1198-201.
8. Weese WC, Smith IM. A study of 57 cases actinomycosis over 36-year period: A diagnostic “failure” with good prognosis after treatment. Arch Intern Med 1975;135:1562-5.

9. Beehner MR, Marx RE: Hyperbaric oxygen induced angiogenesis and fibroplasia in human irridated tissue (abstr). Proceedings of the 65th meeting of the American Association of Oral and Maxillofacial Semptember 21,1983. Las Vegas, NV,
10. Ünür M, Onur ÖD. Aktinomikoz: Ağız Hastalıklarının Teşhis ve Tedavisi. 1. baskı. İstanbul, Quintessence Yayıncılık, 2003. s. 175-7.
11. Ömer Günhan: Oral ve Maksillofasiyal Patoloji. 1.baskı. Ankara, Atlas Kitapçılık ltd. şti. 2001. p. 185-6 12. Brook I.
12. Actinomycosis: diagnosis and
13. management. South Med J 2008;101: 1019-23.
14. Smith MH, Harms PW, Newton DW, Lebar B, Aronoff Edwards Actinomyces osteomyelitis complicating florid cemento-osseous dysplasia: case report. BMC Oral Health 2011;21: 21. DM. Mandibular
15. Hansen T, Wagner W, Kirkpatrick CJ, Kunkel M. Infected osteoradionecrosis of the mandible: follow-up study suggests deterioration in outcome for patients with Actinomyces-positive bone biopsies. Int J Oral Maxillofac Surg 2006;35: 1001-4.
16. Sharkawy AA. Cervicofacial actinomycosis and mandibular osteomyelitis. Infect Dis Clin North Am 2007;25: 543-6.