Abstract
In a retrospective investigation performed in the department of Surgical Odontostomatology of Palermo University Polyclinic from 1997-2006, the authors examined 12 cases of cervico-facial actinomycosis, taking into consideration age range, gender distribution, predisposing factors and symptoms. In concordance with reports in literature, they found that the disease was perimandibular in 65%, they also report the diagnostic methods and therapeutic approaches used in the study.
Highlights
Actinomycosis is a chronic infectious disease, caused by an anaerobic Gram-plus germ belonging to the Actinomyces family, which provokes a chronic productive and colliquative inflammatory reaction known as actinomycotic granuloma, with macroscopically-visual yellowish granules produced by bacterial proliferation
The aim of our study was to define the diagnostic algorhythm of cervico-facial actinomycosis by drawing attention to its differential features compared with other diseases showing similar ulcerative and infiltrating clinical aspects
It should be borne in mind that symptoms of actinomycosis may be microbically superimposed on slow-developing malignant lesions
Summary
Actinomycosis is a chronic infectious disease, caused by an anaerobic Gram-plus germ belonging to the Actinomyces family, which provokes a chronic productive and colliquative inflammatory reaction known as actinomycotic granuloma, with macroscopically-visual yellowish granules produced by bacterial proliferation. It is a rare disease occurring in three different clinical forms-cervico-facial, thoracic and abdominal. The cervico-facial site is the most common of the three types and it is found in about 50% of the cases, it is known as lumpy jaw and involves both the soft and hard tissue of the head and neck region. The various infection sites may regard the scalp, the paranasal sinuses, the palate, the parotid gland, the temporal bone, the tear glands, the cheeks, the lower jaw, the tongue, the larynx and the lower pharynx[1,2].
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