Actinomyces Associated with Radicular Cyst: Case Report

Abstract

Actinomycosis is an infectious disease that rarely settles in the jaw. It is most commonly located in the cervicofacial, thoracic, abdominopelvic, and cerebral regions. Actinomycosis is mainly caused by Actinomyces israelii, a gram-positive facultative anaerobic bacterium. Surgical excision and antibiotic therapy are also required in the treatment approach. We present a rare case of surgical and medical treatment of Actinomycosis, which is rarely seen in the maxillary intraoral region. Actinomyces may be associated with a radicular cyst. The intraoral lesion of a 70-year-old diabetic female patient who applied to our clinic with long-term bleeding in the maxillary anterior region was surgically removed. The excised tissue was evaluated microscopically. Actinomyces associated with radicular cysts were seen. Short-term antibiotic therapy was then administered. An uneventful recovery was observed in the controls. J Microbiol Infect Dis 2022; 12(3):127-129.

Keywords

• Actinomycosis
• Actinomyces
• Radicular Cyst

Kaynakça

1. 1. Neville B, Damm DD, Allen C, Chi A. Oral and Maxillofacial Pathology, 3rd edn. St. Louis, Missouri: Saunders, 2009:203-205.
2. 2 Kaplan I, Anavi K, Anavi Y, et al. The clinical spectrum of Actinomyces-associated lesions of the oral mucosa and jawbones: correlations with histomorphometric analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108:738-746.
3. 3 Gomes NR, Diniz MG, Pereira TD and et al. Actinomyces israelii in radicular cysts: a molecular study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2017; 123:586-590.
4. 4 Sakallioğlu U, Açikgöz G, Kirtiloğlu T, Karagöz F. Rare lesions of the oral cavity: case report of an actinomycotic lesion limited to the gingiva. J Oral Scienc 2003; 45:39-42.
5. 5 Hirshberg A, Tsesis I, Metzger Z, Kaplan I. Periapical actinomycosis: a clinicopathologic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003; 95:614-620.
6. 6 Günhan Ö. Oral ve Maksillofasiyal Patoloji, 1st edn. Ankara: Atlas Kitapçılık Ltd Şti, 2001; p:185-186.
7. 7 Regezi JA, Sciubba JJ, Jordan RC. Oral Pathology: Clinical Pathologic Correlations, 6th edn. St. Louis, Missouri: Elsevier Health Sciences, 2012:32-33.
8. 8 Moturi K, Kaila V. Cervicofacial Actinomycosis and its Management. Ann Maxillofac Surg 2018; 8:361–364.

9. 9 Sun Y, Kuyama K, Fifita SF, et al. Actinomycosis in radicular cyst: a case report and literature survey. Oral Med Pathol 2010; 14:113-116.