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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

On-line version ISSN 2312-3893


FALCON, Jesús  and  VITALE, Ana. Mandibular actinomycosis. Rev. virtual Soc. Parag. Med. Int. [online]. 2020, vol.7, n.1, pp.118-122. ISSN 2312-3893.

A 46-year-old woman, thyroidectomized by hyperfunctional goiter, with bicytopenia (anemia and leukopenia) under study, consults because of a tumor, pain of the lower jaw and purulent secretion of 4 months of evolution, with intermittent fever. She presented decrease in food intake with loss of approximately 20 kg of weight. She has already received several treatment schemes, including antimicrobials, without improvement. Culture secretion samples: negative. Tomography of the facial massif showed osteolytic lesions and fracture of the lower jaw. The biopsy shows nonspecific chronic inflammation and the presence of Actinomyces sp. Osteomedullary biopsy: probable spinal toxic effect. She received prolonged treatment with antimicrobial, improving. Currently she is in reconstruction plans of the lower jaw.

Keywords : Actinomyces; cervicofacial actinomycosis..

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