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Case report
Cervicofacial actinomycosis of the mandible in a paediatric patient
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  1. Jason J Cho and
  2. Raymond Patrick Shupak
  1. Oral and Maxillofacial Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
  1. Correspondence to Dr Raymond Patrick Shupak; rpshupak{at}gmail.com

Abstract

Cervicofacial actinomycosis remains a rare pathogenic finding in the paediatric population. Diagnosis is challenging, as findings are often non-specific and Actinomyces species are generally difficult to culture. Treatment is a prolonged course of antibiotics, either intravenous and oral, often combined with a surgical procedure to remove the lesion. This patient had non-specific intermittent left mandibular pain for 8 months that was eventually attributed to an Actinomyces odontolyticus infection in the mandible. Diagnosis required incisional biopsy, and treatment involved 12 months of oral antibiotics.

  • dentistry and oral medicine
  • infections
  • bone and joint infections
  • mouth
  • oral and maxillofacial surgery

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Footnotes

  • Contributors RPS and JJC both equally contributed to the planning, conduct, reporting, conception and design, acquisition of data and interpretation of this case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.