Chronic Bi-Maxillary Osteomyelitis Caused by Actinomycetes in a Patient with Severe COVID-19
DOI:
https://doi.org/10.15517/ijds.2023.55954Keywords:
Actinomyces; Bilateral maxillectomy; COVID-19; Osteomyelitis.Abstract
Osteomyelitis is defined as the inflammation of the either medullary, cortical, or cancellous bone, including nerves and blood vessels, causing necrosis and bone sequestrum formation; this condition has become a rare pathology, and odontogenic infections are considered the most frequent causal factor. This case shows a patient with bi-maxillary osteomyelitis caused by Actinomyces spp, which was worsened for severe COVID-19 infection. Patient was submitted at surgery as, amplified total bilateral maxillectomy through the surgical technique Weber-Fergusson, and prolonged use of combination of antibiotics, achieved a good recovery. Two years later follow-up, the patient no show imaging or clinical evidence of the infection of osteomyelitis. The present case shows an interesting relationship between a rare infection and its association with COVID-19.
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Arshad W., Mahmood Kamal M., Rafique Z., Rahat M., Mumtaz H. Case of maxillary actinomycotic osteomyelitis, a rare post COVID complication-case report. Ann Med Surg. 2022; (80): 104242. https://doi.org/10.1016/j.amsu.2022.104242.
Von B., Baltensperger M., Eyrich G., Marx R.E. Osteomyelitis of the Jaws. In Bone and Joint Infections: From Microbiology to Diagnostics and Treatment. XXII ed. 2015; ISBN 978 3 540 287643. https://doi.org/10.1002/9781118581742.ch19.
Gaetti-Jardim Júnior E., Fardin A.C., Gaetti-Jardim E.C., de Castro A.L., Schweitzer C.M., Avila-Campos M.J. Microbiota associated with chronic osteomyelitis of the jaws. Braz J Microbiol. 2010; 41 (4): 1056-1064. https://doi:10.1590/S1517-838220100004000025.
Kvolik Pavić, A., Zubčić V. Osteomyelitis of the Jaw in COVID-19 Patients: A Rare Condition With a High Risk for Severe Complications. Front Surg. 2022; 9. https://doi.org/10.3389/fsurg.2022.867088
Carvallo-Venegas M., Fuentes-López E.A., Andrade-Ortega A.J., et al. Disseminated histoplasmosis, pulmonary tuberculosis, and cytomegalovirus disease in a renal transplant recipient after infection with SARS-CoV-2. Case Rep Transplant. 2022; (2022): 1-5. https://doi.org/10.1155/2022/8042168
Swaminathan N., Anderson K., Nosanchuk J.D., Akiyama M.J. Candida glabrata Empyema Thoracis-A Post-COVID-19 Complication. J Fungi. 2022; 8 (9): 4-11. https://doi.org/10.3390/jof8090923
Habib A., Sivaji N., Ashraf T. Maxillary Osteomyelitis: A Rare Entity. Case Rep Otolaryngol. 2016; (2016): 9723806. https://doi:10.1155/2016/9723806
Gupta N., Aggarwal A., Ramteke P., Soneja M. Mandibular osteomyelitis due to Actinomyces spp. BMJ Case Rep. 2020; 13 (5): e235744. https://doi:10.1136/bcr-2020-235744
Khandelwal P., Saluja H., Shah S., Dadhich A., Harija N. Diabetic Maxillary Osteomyelitis: A Worrisome Vulnerability-Our Experience. J Maxillofac Oral Surg. 2022; 21 (2): 590-598. https://doi:10.1007/s12663-020-01371-6
Balaji S.M., Balaji P. Maxillary rehabilitation after complete destruction by fungal osteomyelitis. Indian J Dent Res. 2019; 30 (5): 807-809. https://doi:10.4103/ijdr.IJDR_711_19
Jawanda-Manveen K., Narula R., Gupta S., Sharma V., Sidhu-Supreet K., Kaur Navneet. Mixed infection (mucormycosis, actinomycosis and candidiasis) leading to maxillary osteomyelitis in diabetic mellitus patients in post COVID phase: first case report. Acta Medica (Hradec Králové). 2021; 64 (4): 218-223. https://doi:10.14712/18059694.2022.5
Lévay K., Daradics N., Horváth I., Kovács T., Fülöp A., Oláh A., Szijártó A. Case report of actinomycotic liver abscess following COVID-19 infection. Ann Med Surg. 2022; 82: 104525. https://doi:10.1016/j.amsu.2022.104525
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