{"title":"Actinomycotic Osteomyelitis in the Maxilla: A Rare Case Report of Postdengue Complication in Diabetic Patients.","authors":"Prashanthi Reddy, Ajay Parihar, Sujata Tosh, Arun Dev Sharma, Saloni Agrawal, Yashika Kewalramani","doi":"10.4103/ccd.ccd_215_25","DOIUrl":null,"url":null,"abstract":"<p><p>Actinomycotic osteomyelitis in the maxilla is a rare complication, particularly in diabetic patients following dengue infection. Actinomycosis, caused by <i>Actinomyces israelii</i>, typically arises in immunocompromised hosts, with dengue-induced immune dysregulation and diabetes contributing to its pathogenesis. This case report describes a 42-year-old diabetic male presenting with oroantral communication, loose posterior maxillary teeth, and persistent pus discharge 20 days postdengue. Imaging revealed bone erosion, and histopathology confirmed actinomycosis. The patient underwent partial maxillectomy with antibiotic therapy, leading to full recovery within 6 months. This case emphasizes the importance of early diagnosis and tailored treatment in managing rare bacterial infections in vulnerable populations.</p>","PeriodicalId":10632,"journal":{"name":"Contemporary Clinical Dentistry","volume":"16 2","pages":"144-147"},"PeriodicalIF":1.1000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12338455/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contemporary Clinical Dentistry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/ccd.ccd_215_25","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/14 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Actinomycotic osteomyelitis in the maxilla is a rare complication, particularly in diabetic patients following dengue infection. Actinomycosis, caused by Actinomyces israelii, typically arises in immunocompromised hosts, with dengue-induced immune dysregulation and diabetes contributing to its pathogenesis. This case report describes a 42-year-old diabetic male presenting with oroantral communication, loose posterior maxillary teeth, and persistent pus discharge 20 days postdengue. Imaging revealed bone erosion, and histopathology confirmed actinomycosis. The patient underwent partial maxillectomy with antibiotic therapy, leading to full recovery within 6 months. This case emphasizes the importance of early diagnosis and tailored treatment in managing rare bacterial infections in vulnerable populations.
期刊介绍：
The journal Contemporary Clinical Dentistry (CCD) (Print ISSN: 0976-237X, E-ISSN:0976- 2361) is peer-reviewed journal published on behalf of Maharishi Markandeshwar University and issues are published quarterly in the last week of March, June, September and December. The Journal publishes Original research papers, clinical studies, case series strictly of clinical interest. Manuscripts are invited from all specialties of Dentistry i.e. Conservative dentistry and Endodontics, Dentofacial orthopedics and Orthodontics, Oral medicine and Radiology, Oral pathology, Oral surgery, Orodental diseases, Pediatric Dentistry, Periodontics, Clinical aspects of Public Health dentistry and Prosthodontics. Review articles are not accepted. Review, if published, will only be by invitation from eminent scholars and academicians of National and International repute in the field of Medical/Dental education.
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