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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Main Authors: Edwards Sean P, Lebar Bill, Newton Duane W, Harms Paul W, Smith Miller H, Aronoff David M
Format: Article
Language:English
Published: BMC 2011-07-01
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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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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