Actinomycotic osteomyelitis

Sir, Actinomycosis is a rare, chronic disease caused by a group of anaerobic, Gram-positive bacterium, Actinomyces israelii. [2] Although rarely seen in day-to-day dental practice, due to its aggressive and locally destructive nature, actinomycosis of the oral cavity is a highly significant condition. A 28-year-old man reported to the dental outpatient department in Yashwantrao Chavan Memorial Hospital, Pimpri-Chinchwad, Pune, Maharashtra, India, with the chief complaint of painful swelling on the lower right premolar and molar region. After 15 days of extraction, swelling developed in the left premolar region for which he reported to the dental outpatient department in a medical hospital. [...]this disease needs to be considered frequently in the diagnosis of head, neck and intraoral infections. In the background of debilitating bacterial infections, a vigorous antimicrobial regimen should be followed before undertaking any surgical procedure. Crossman T, Herold J. Actinomycosis of the maxilla - A case report of a...