PEDIATRICS Vol. 85 No. 5 May 1990, pp. 858-864
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Actinomycosis Manifesting as an Acute Painless Lump of the Jaw

HENRY M. FEDER JR MD1

1 Professor of Pediatrics and Family Medicine, University of Connecticut, Health Center

Actinomyces species and Arachnia propionica are slow-growing, Gram-positive bacteria which are part of the normal oral flora. Microscopically, they have a filamentous structure which gives them a fungus-like appearance. Infections caused by these bacteria are termed actinomycosis. Cervicofacial actinomycoses are usually painless, slow-growing, hard masses which can produce cutaneous fistulas, a condition commonly known as lumpy jaw. Less frequently, cervicofacial actinomycosis is an acute, tender, fluctuant mass suggestive of an acute pyogenic infection.1-4 Following are three pediatric cases of cervicofacial actinomycosis. Two cases, one of mandibular osteomyelitis and one of a paramandibular abscess, both occurred aytpically as acute woody masses without systemic illness.

Submitted on May 12, 1989
Accepted on June 27, 1989




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