BACTERIAL UNFECTIONS (ACTINOMYCOSIS))

Question 1

CONCEPT

Answer 1

CHRONIC GRANULOMATOUS INFECTIOUS

Question 2

CAUSE

Answer 2

BACTERIA ACTINOMYCES ISRAELLI (FILAMENTOUS/BRANCHING/GRAM-POSITIVE ANAEROBIC BACTERIA)

Question 3

BACTERIA

Answer 3

• ACTINOMYCES ISRAELLI NORMAL INHABITANTS ORAL FLORA
• ENTER DEEP TISSUE THROUGH SOURCES OF TRAUMA (PERIODONTAL POCKET/SOFT TISSUE INJURIES/TOOTH SOCKETS/EXTRACTED TEETH)
• INSTEAD DIRECT EXTENSION THROUGH SOFT TISSUE (NOT FOLLOW USUAL FACIAL, VASCULAR, LYMPHATIC PATHWAYS)

Question 4

PLACE

Answer 4

55 % CERVICOFACIAL REGION

Question 5

LESIONS

Answer 5

INFLAMMATORY/WOODY HARD” INDURATED SWELLING THAT GROWS SLOWLY WHICH ULTIMATELY FORMS A CENTRAL, SOFTER AREA OF ABSESS

Question 6

ABSCESSES

Answer 6

MANY ABSCESSES/DRAINING SINUSES (DISCHARGE LARGE YELLOWISH SPECKS (COLONIES OF BACTERIA - SULFUR GRANULES)

Question 7

AREAS

Answer 7

• SOFT TISSUES SUBMANDIBULAR/SUBMENTAL/CHEEK - AREAS
• ANGLE MANDIBULE MOST AFFECTED (LUMPY JAW)

Question 8

TREATMENT

Answer 8

• LONG-TERM HIGH DOSE ANTIBIOTIC THERAPY (PENICILIN)
• EARLY CERVICOFACIAL: RESPOND 5-6 WEEKS
• DEEP-SEATED INFECTIONS: 12 MONTHS
• ABSCESS DRAINAGE/EXCISION OF THE SINUS TRACT