Case of Actinomyces Osteomyelitis in a Patient with Florid Cemento-Osseous Dysplasia
Author Information
Author(s): Smith Miller H, Harms Paul W, Newton Duane W, Lebar Bill, Edwards Sean P, Aronoff David M
Primary Institution: University of Michigan Medical School
Hypothesis
Can actinomycosis occur in patients with florid cemento-osseous dysplasia?
Conclusion
The study highlights the association between actinomycosis and florid cemento-osseous dysplasia, emphasizing the need for accurate diagnosis through bone biopsy.
Supporting Evidence
- The patient had a history of florid cemento-osseous dysplasia.
- A bone biopsy revealed dead bone and Actinomyces species.
- The patient was treated with a combination of antibiotics for a prolonged period.
Takeaway
This case shows that a patient can have two serious jaw conditions at the same time, and doctors need to do special tests to find out what's really wrong.
Methodology
The patient underwent debridement with bone biopsy and cultures of the diseased left mandibular ramus.
Limitations
The diagnosis was initially delayed due to the presence of florid cemento-osseous dysplasia.
Participant Demographics
53-year-old African-American woman, edentulous.
Digital Object Identifier (DOI)
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