{"title":"正颌外科手术后延迟出现的放线菌病：古老的克星和困难的诊断：病例展示与文献综述。","authors":"Alexander J Krisko, Joseph E Van Sickels","doi":"10.1177/19433875231155986","DOIUrl":null,"url":null,"abstract":"<p><strong>Study design: </strong>Review of the literature with report of Case.</p><p><strong>Objective: </strong>To review the presentation of Actinomycosis specifically as it occurs with mandibular osteotomies.</p><p><strong>Methods: </strong>A review of the literature and report of an additional case.</p><p><strong>Results: </strong>While minor infections secondary to local factors are usually seen 2-3 weeks after surgery, late infections are rare. Host factors may play a role. When actinomycosis is diagnosed, long-term antibiotics are necessary.</p><p><strong>Conclusions: </strong>Actinomycosis is very rare following orthognathic surgery. It usually occurs in the mandible and following a sagittal split. Time of presentation for actinomycosis can vary from 6 weeks to 4 months as in our case. Infections occurring this late after surgery should be treated with suspicion of actinomycosis obtaining both cultures and tissue biopsies. Treatment involves an incision and drainage and long-term antibiotics.</p>","PeriodicalId":18444,"journal":{"name":"Metrologia","volume":"54 1","pages":"18-23"},"PeriodicalIF":2.1000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10874200/pdf/","citationCount":"0","resultStr":"{\"title\":\"Delayed Presentation of Actinomycosis Following Orthognathic Surgery: An Old Nemesis and a Difficult Diagnosis: Case Presentation and Review of the Literature.\",\"authors\":\"Alexander J Krisko, Joseph E Van Sickels\",\"doi\":\"10.1177/19433875231155986\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Study design: </strong>Review of the literature with report of Case.</p><p><strong>Objective: </strong>To review the presentation of Actinomycosis specifically as it occurs with mandibular osteotomies.</p><p><strong>Methods: </strong>A review of the literature and report of an additional case.</p><p><strong>Results: </strong>While minor infections secondary to local factors are usually seen 2-3 weeks after surgery, late infections are rare. Host factors may play a role. When actinomycosis is diagnosed, long-term antibiotics are necessary.</p><p><strong>Conclusions: </strong>Actinomycosis is very rare following orthognathic surgery. It usually occurs in the mandible and following a sagittal split. Time of presentation for actinomycosis can vary from 6 weeks to 4 months as in our case. Infections occurring this late after surgery should be treated with suspicion of actinomycosis obtaining both cultures and tissue biopsies. Treatment involves an incision and drainage and long-term antibiotics.</p>\",\"PeriodicalId\":18444,\"journal\":{\"name\":\"Metrologia\",\"volume\":\"54 1\",\"pages\":\"18-23\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2024-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10874200/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Metrologia\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/19433875231155986\",\"RegionNum\":3,\"RegionCategory\":\"工程技术\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/2/8 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"INSTRUMENTS & INSTRUMENTATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Metrologia","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/19433875231155986","RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/2/8 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"INSTRUMENTS & INSTRUMENTATION","Score":null,"Total":0}
Delayed Presentation of Actinomycosis Following Orthognathic Surgery: An Old Nemesis and a Difficult Diagnosis: Case Presentation and Review of the Literature.
Study design: Review of the literature with report of Case.
Objective: To review the presentation of Actinomycosis specifically as it occurs with mandibular osteotomies.
Methods: A review of the literature and report of an additional case.
Results: While minor infections secondary to local factors are usually seen 2-3 weeks after surgery, late infections are rare. Host factors may play a role. When actinomycosis is diagnosed, long-term antibiotics are necessary.
Conclusions: Actinomycosis is very rare following orthognathic surgery. It usually occurs in the mandible and following a sagittal split. Time of presentation for actinomycosis can vary from 6 weeks to 4 months as in our case. Infections occurring this late after surgery should be treated with suspicion of actinomycosis obtaining both cultures and tissue biopsies. Treatment involves an incision and drainage and long-term antibiotics.
期刊介绍：
Published 6 times per year, Metrologia covers the fundamentals of measurements, particularly those dealing with the seven base units of the International System of Units (metre, kilogram, second, ampere, kelvin, candela, mole) or proposals to replace them.
The journal also publishes papers that contribute to the solution of difficult measurement problems and improve the accuracy of derived units and constants that are of fundamental importance to physics.
In addition to regular papers, the journal publishes review articles, issues devoted to single topics of timely interest and occasional conference proceedings. Letters to the Editor and Short Communications (generally three pages or less) are also considered.
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