title: Actinomycosis presenting as osteomyelitis in the pediatric population.
abstract: Osteomyelitis attributable to Actinomyces often results in recurrent disease and inconsistent responses to antimicrobial agents. We present data for 4 patients and a review of the 15 previously described pediatric cases of actinomycosis presenting as osteomyelitis. Fourteen cases involved the mandible and 5 cases involved other sites. All mandibular cases required at least 1 debridement, with 4 of the cases requiring multiple debridements.
authors.affiliation: Infectious Diseases, Stollery Children's Hospital, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Joan L
authors.initials: JL
authors.lastname: Robinson
authors.forename: Wendy L
authors.initials: WL
authors.lastname: Vaudry
authors.forename: Walter
authors.initials: W
authors.lastname: Dobrovolsky
mesh_terms: D000190:Actinomyces / Q000302:isolation & purification; D000196:Actinomycosis / Q000150:complications* / Q000382:microbiology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D003646:Debridement; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000382:microbiology*; D008336:Mandibular Diseases / Q000382:microbiology* / Q000628:therapy; D010019:Osteomyelitis / Q000382:microbiology* / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents