Chronic Mandibular Actinomycosis with Osteomyelitis: A 10-Year Follow-up Case Report of Multidisciplinary Management

Author(s)	Dr. Samanvitha Upadhya, Dr. Shreyas Sorake, Dr. Rithesh K B, Dr. Kiran N C
Country	India
Abstract	Background: Cervicofacial actinomycosis is a chronic granulomatous infection caused by Actinomyces species that can lead to significant morbidity if not adequately treated. Mandibular osteomyelitis represents an uncommon but serious complication that requires aggressive multidisciplinary management. Case Presentation: We present a 39-year-old male with chronic mandibular actinomycosis complicated by osteomyelitis, presenting with severe trismus, facial asymmetry, and multiple draining sinuses. The patient underwent buccal decortication combined with prolonged antimicrobial therapy, resulting in successful clinical resolution. Conclusion: This case highlights the challenging nature of chronic actinomycosis management and demonstrates the effectiveness of combined surgical debridement and targeted antimicrobial therapy in achieving favorable outcomes
Keywords	Actinomycosis, mandibular osteomyelitis, buccal decortication, cervicofacial infection, chronic granulomatous infection
Field	Medical / Pharmacy
Published In	Volume 7, Issue 4, July-August 2025
Published On	2025-08-10
DOI	https://doi.org/10.36948/ijfmr.2025.v07i04.53387
Short DOI	https://doi.org/g9w5cp

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International Journal For Multidisciplinary Research