Mandibular <it>Actinomyces </it>osteomyelitis complicating florid cemento-osseous dysplasia: case report
<p>Abstract</p> <p>Background</p> <p>Apart from neoplastic processes, chronic disfiguring and destructive diseases of the mandible are uncommon.</p> <p>Case Presentation</p> <p>We report, perhaps for the first time, the simultaneous occurrence of...
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BMC
2011-07-01
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Series: | BMC Oral Health |
Online Access: | http://www.biomedcentral.com/1472-6831/11/21 |
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author | Edwards Sean P Lebar Bill Newton Duane W Harms Paul W Smith Miller H Aronoff David M |
author_facet | Edwards Sean P Lebar Bill Newton Duane W Harms Paul W Smith Miller H Aronoff David M |
author_sort | Edwards Sean P |
collection | DOAJ |
description | <p>Abstract</p> <p>Background</p> <p>Apart from neoplastic processes, chronic disfiguring and destructive diseases of the mandible are uncommon.</p> <p>Case Presentation</p> <p>We report, perhaps for the first time, the simultaneous occurrence of two such conditions in one patient, in a case that emphasizes the importance of bone biopsy in establishing the correct diagnosis. Florid cemento-osseous dysplasia (FCOD) is a chronic, disfiguring condition of the maxillofacial region. This relatively benign disease is primarily observed in middle-aged women of African ancestry. Cervicofacial actinomycosis is an uncommon and progressive infection caused by bacilli of the <it>Actinomyces </it>genus that typically involves intraoral soft tissues but may also involve bone. The accurate diagnosis of actinomycosis is critical for successful treatment. A diagnosis of osteomyelitis caused by <it>Actinomyces </it>bacteria was diagnosed by bone biopsy in a 53 year-old African-American woman with a longstanding history of FCOD after she presented with a new draining ulcer overlying the mandible.</p> <p>Conclusions</p> <p>Clinicians should be aware of the possibility of actinomycosis arising in the setting of FCOD, and the importance of bone biopsy and cultures in arriving at a definitive and timely diagnosis.</p> |
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issn | 1472-6831 |
language | English |
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series | BMC Oral Health |
spelling | doaj.art-113049fa0c6647f5aa1647be5a94e7a32022-12-21T23:21:52ZengBMCBMC Oral Health1472-68312011-07-011112110.1186/1472-6831-11-21Mandibular <it>Actinomyces </it>osteomyelitis complicating florid cemento-osseous dysplasia: case reportEdwards Sean PLebar BillNewton Duane WHarms Paul WSmith Miller HAronoff David M<p>Abstract</p> <p>Background</p> <p>Apart from neoplastic processes, chronic disfiguring and destructive diseases of the mandible are uncommon.</p> <p>Case Presentation</p> <p>We report, perhaps for the first time, the simultaneous occurrence of two such conditions in one patient, in a case that emphasizes the importance of bone biopsy in establishing the correct diagnosis. Florid cemento-osseous dysplasia (FCOD) is a chronic, disfiguring condition of the maxillofacial region. This relatively benign disease is primarily observed in middle-aged women of African ancestry. Cervicofacial actinomycosis is an uncommon and progressive infection caused by bacilli of the <it>Actinomyces </it>genus that typically involves intraoral soft tissues but may also involve bone. The accurate diagnosis of actinomycosis is critical for successful treatment. A diagnosis of osteomyelitis caused by <it>Actinomyces </it>bacteria was diagnosed by bone biopsy in a 53 year-old African-American woman with a longstanding history of FCOD after she presented with a new draining ulcer overlying the mandible.</p> <p>Conclusions</p> <p>Clinicians should be aware of the possibility of actinomycosis arising in the setting of FCOD, and the importance of bone biopsy and cultures in arriving at a definitive and timely diagnosis.</p>http://www.biomedcentral.com/1472-6831/11/21 |
spellingShingle | Edwards Sean P Lebar Bill Newton Duane W Harms Paul W Smith Miller H Aronoff David M Mandibular <it>Actinomyces </it>osteomyelitis complicating florid cemento-osseous dysplasia: case report BMC Oral Health |
title | Mandibular <it>Actinomyces </it>osteomyelitis complicating florid cemento-osseous dysplasia: case report |
title_full | Mandibular <it>Actinomyces </it>osteomyelitis complicating florid cemento-osseous dysplasia: case report |
title_fullStr | Mandibular <it>Actinomyces </it>osteomyelitis complicating florid cemento-osseous dysplasia: case report |
title_full_unstemmed | Mandibular <it>Actinomyces </it>osteomyelitis complicating florid cemento-osseous dysplasia: case report |
title_short | Mandibular <it>Actinomyces </it>osteomyelitis complicating florid cemento-osseous dysplasia: case report |
title_sort | mandibular it actinomyces it osteomyelitis complicating florid cemento osseous dysplasia case report |
url | http://www.biomedcentral.com/1472-6831/11/21 |
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