Motamedi Mohammad Hosein Kalantar
OMS Clinic and Trauma Research Center, Baqiyatallah University of Medical Sciences, Iran.
Gen Dent. 2008 Mar-Apr;56(2):191-3.
Postoperative actinomycosis infection caused by Actinomyces israelii is uncommon. Cervicofacial actinomycosis may appear as an opportunistc infection in the oral cavity. Initial diagnosis of this condition is difficult after oral surgery and the condition often is mistaken for more common odontogenic infections. Actinomycosis responds to antibiotic therapy but the condition recurs after therapy is discontinued. This article presents an unusual case of postsurgical actinomycosis that manifested in the cheek and appeared to be unrelated to the surgical extraction of an impacted maxillary third molar that had occurred one year earlier. The organism was sampled under anaerobic conditions, isolated, and diagnosed by Gram's stain and culture tests. The condition was cured after extraoral surgical drainage, debridement, and several months of oral antibiotic administration.
由以色列放线菌引起的术后放线菌感染并不常见。颈面部放线菌病可能表现为口腔中的机会性感染。口腔手术后对这种疾病进行初步诊断很困难，而且这种情况常常被误诊为更常见的牙源性感染。放线菌病对抗生素治疗有反应，但在停止治疗后病情会复发。本文介绍了一例不寻常的术后放线菌病病例，该病例出现在脸颊部位，似乎与一年前拔除上颌阻生第三磨牙的手术无关。在厌氧条件下采集该病原体样本，进行分离，并通过革兰氏染色和培养试验进行诊断。经口腔外手术引流、清创以及数月的口服抗生素治疗后，病情得以治愈。
