Maksiller sinüsle ilişkili aktinomiçes enfeksiyonu: vaka raporu

Saim Yanık, Bilal Eğe, Aydın Keskinrüzgar, Mutan Hamdi Aras, Sinan Ay
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Actinomyces are anaerobic Gram-positiveprokaryotic bacteria belonging to the familyActinomyceataceae. They can be found in calculus,periodontal pockets, carious lesions, oral mucosalsurfaces, upper respiratory tract, gastrointestinal,and female genital mucosa. Approximately 55-60% of actinomycotic infections in human areoriginated cervicofacial region. A. israelii is themain species responsible for the human disease.Actinomycosis involving the maxilla usually is seenas a localized intraoral infection in contrast toclassical cervicofacial actinomycosis. Formation ofdraining sinuses, local swelling, and pain are themost common presenting symptoms. We report acase of actinomyces infection that was localizedmaxillary molar tooth and association withmaxillary sinus in a 39 years old woman. Afterseven days antibiotic therapy surgical curettagetherapy was performed to patient. During monthlyrecalls for 3 months no recurrence was noted andthe infected area has been healed completely.


Actinomyces, maxilla, maxillarysinus.

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Mabeza GF, Macfarlane J. Pulmonary actinomycosis. Eur Respir 2003;21:545-551.

Smego RA, Foglia G. Actinomycosis. Clin Infect Dis 1998; 26:1255-1261.

Alamillos-Granados F.J, Dean Ferrer A, Garcia-Lopez A, Lopez-Rubio F. Actinomycotic ulcer of the oral mucosa: an unusual presentation of oral actinomycosis. Br J Oral Maxillofac Surg 2000;38:121-123.

Musser LB, Tulumello TN, Hiatt WR. Actinomycosis of the anterior maxilla. Oral Surg Oral Med Oral Pathol 1977;44:21-24.

Rose LF, Genco RJ, Goldman HM, Cohen DW (eds). Infective forms of gingivostomatitis In Contemporary Periodontics, Philedelphi: The CV Mosby 1990:248-249.

Ünür M, Onur OD. Aktinomiköz: Ağız hastalıklarının teşhis ve tedavisi. İstanbul Quintessence Yayıncılık 2003.

Weir JC, Buck WH. Periapical actinomycosis. Report of a case and review of the literature. Oral Surg Oral Med Oral Pathol 1982;54:3363

Acevedo F, Baudrand R, Letelier LM, Gaete P. Actinomycosis: a great pretender. Case reports of unusual presentations and a review of the literature. Int J Infect Dis 2008;12:358-362.

Rothschild B, Naples V, Barbian L. Bone manifestations of actinomycosis. Ann Diagn Pathol 2006;10:24-27. Chaudhry SI, Greenspan JS, Actinomycosis in HIV infection: a review of a rare complication. Int J STD AIDS 2000;11:349-355.

Chen CY, Chen YC, Tang JL, Lin WC, Su IJ, Tien HF. Splenic actinomycotic abscess in a patient with acute myeloid leukemia. Ann Hematol 2002;81:532-534. Dominguez DC, Antony SJ. Actinomyces and nocardia infections in immunocompromised and nonimmunocompromised patients. J Natl Med Assoc 1999;91:35-39.

Nagler RM, Peled, D. Laufer, Cervicofacial actinomycosis: a diagnostic challenge. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;83:652-656.

Maurer P, Otto C, Eckert AW, Schubert J. Actinomycosis as a rare complication of orthognathic surgery. Int J Adult Orthodon Orthognath Surg 2002;17:230-233.

Ermis I, Topalan M, Aydin A, Erer M. Actinomycosis of the frontal and parotid regions. Ann Plast Surg 2001;46:55-58.

Palonta F, Preti G, Vione N, Cavalot AL. Actinomycosis of the masseter muscle: report of a case and review of the literature. J Craniofac Surg 2003;14:915-918.

Sudhakar SS, Ross JJ. Short-term treatment of actinomycosis: two cases and a review. Clin Infect Dis 2004;38:444-447.

Pradhan S, Datta NR, Prasad KN, Ayvagari S, Pandey R. Actinomycosis mimicking carcinoma of the maxillary sinus, Indian J Cancer 1993;30:1-4.

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