[Mandibular actinomycosis].
BACKGROUND
Actinomycosis is a rare disease. The cervicofacial region is the most frequent localization. A chronic pus discharge, sometimes tumor-like, suggests the diagnosis, which is often confirmed by anatomopathology. The treatment is surgical debridement and antibiotic therapy, frequently long-term. We report three cases of mandibular actinomycosis.


METHODS
A 21-year-old male patient presented with a fistulized swelling of the right jaw. A 48-year-old male patient was referred for alveolar healing delay after avulsion of teeth 32, 33, and 34. A 38-year-old female patient presented with a left mandibular swelling and restricted mouth opening. In the three cases, the diagnosis of actinomycosis was made by histology. The clinical outcome was good following alveolar curettage (and sequestrectomy for 1 patient) and antibiotic therapy.


CONCLUSIONS
Mandibular actinomycosis is caused by Actinomyces israelii. Lesions if untreated may evolve to osteitis and sequestration. Early diagnosis is crucial.
Service de chirurgie plastique et stomatologie, hôpital militaire d'instruction Mohamed V, Rabat, Maroc.
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Abir
Service de chirurgie plastique et stomatologie, hôpital militaire d'instruction Mohamed V, Rabat, Maroc. Electronic address: mmoumine@yahoo.com.
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Moumine
Service de chirurgie plastique et stomatologie, hôpital militaire d'instruction Mohamed V, Rabat, Maroc.
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Abouchadi
Service de chirurgie plastique et stomatologie, hôpital militaire d'instruction Mohamed V, Rabat, Maroc.
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Nassih
Service de chirurgie plastique et stomatologie, hôpital militaire d'instruction Mohamed V, Rabat, Maroc.
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Rzin
D000197:Actinomycosis, Cervicofacial / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D000328:Adult; D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D008336:Mandibular Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D008875:Middle Aged; D011859:Radiography; D055815:Young Adult
D019980:Amoxicillin-Potassium Clavulanate Combination
Actinomycose; Actinomycosis; Infection; Jaw; Mandibule