title: Rapidly progressing osteomyelitis of the mandible.
abstract: Acute osteomyelitis exists as a refractory disease even now, which usually exhibits systemic symptoms such as fever or malaise and local redness or swelling. The present paper describes a case of acute osteomyelitis of the mandible that was rapidly progressing without typical symptoms. The patient had liver cirrhosis, which should be one of the systemic factors that affect immune surveillance and metabolism. Actinomycotic druses and filaments were detected from the sequestrum. These were considered to play a role in the rapid progression of osteomyelitis without typical symptoms. There has been no evidence of local recurrence 24 months after surgery.
authors.affiliation: Department of Dentistry and Oral Surgery, Matsubara Tokushukai Hospital, 7-13-26 Amamihigashi, Matsubara-shi, Osaka 580-0032, Japan.
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Kusuyama
authors.affiliation: Department of Oral and Maxillofacial Surgery II, Osaka University, Graduate School of Dentistry, Osaka 565-0871, Japan.
authors.forename: Ken
authors.initials: K
authors.lastname: Matsumoto
authors.affiliation: Department of Dentistry and Oral Surgery, Matsubara Tokushukai Hospital, 7-13-26 Amamihigashi, Matsubara-shi, Osaka 580-0032, Japan.
authors.forename: Shino
authors.initials: S
authors.lastname: Okada
authors.affiliation: Department of Dentistry and Oral Surgery, Matsubara Tokushukai Hospital, 7-13-26 Amamihigashi, Matsubara-shi, Osaka 580-0032, Japan.
authors.forename: Ken
authors.initials: K
authors.lastname: Wakabayashi
authors.affiliation: Department of Dentistry and Oral Surgery, Matsubara Tokushukai Hospital, 7-13-26 Amamihigashi, Matsubara-shi, Osaka 580-0032, Japan.
authors.forename: Noritami
authors.initials: N
authors.lastname: Takeuchi
authors.affiliation: Department of Oral and Maxillofacial Surgery II, Osaka University, Graduate School of Dentistry, Osaka 565-0871, Japan.
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Yura