ORAL THERAPEUTICS AND PHARMACOLOGY

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Cervicofacial actinomycosis affects many soft tissue and bony structures in the head and neck, and has both granulomatous and suppurative features. It usually presents as a swelling with “woody hard induration” and with multiple sinus tracts containing macroscopic colonies of the microorganism known as “sulfur granules”. Most cases of cervicofacial actinomycosis are found in adult and children are extremely rare. We described a case of pediatric cervicofacial actinomycosis possibly associated with an endodontically treated deciduous molar in the mandible.
An 8-year-old boy with submandibular swelling was admitted to the hospital. The causative tooth was the first deciduous molar, which had been receiving endodontical treatment over the previous 4 weeks. Submandibular incision for drainage and the extraction of the first deciduous molar were performed, and pus and granulation tissue were obtained. The direct smear and histopathological examination revealed colonies of Actiomyces species. Healing was obtained following administration of intravenous aspoxicillin for 10 days and oral amoxicillin for 1 month.

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