Clinical and Histopathologic Investigation of Periapical Actinomycosis with Cutaneous Lesion: a Case Report

Jamshidi, Davoud; Moazami, Fariborz; Sobhnamayan, Fereshte; Taheri, Ali

Clinical and Histopathologic Investigation of Periapical Actinomycosis with Cutaneous Lesion: a Case Report

Document Type : Case Report

Authors

Davoud Jamshidi ¹

Fariborz Moazami ²

Fereshte Sobhnamayan ²

Ali Taheri ³

¹ Dept. of Endodontics, School of Dentistry, Qazvin University of Medical Sciences, Qazvin, Iran.

² Dept. of Endodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.

³ Dept. of Pathology, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran.

Abstract

Management of an extra-radicular infection is a challenging procedure that requires surgical intervention. This report describes a patient with discharging cutaneous lesion that required apical surgery. A 40-year-old woman was referred to the Department of Endodontics, Shiraz Dental School with chief complaint of a cutaneous sinus tract. She had been treated by a dermatologist and an otolaryngologist. The patient had also received orthograde root canal treatment of tooth #16. Yet, the lesion was still discharging and the patient was scheduled for surgery. Histopathologic analysis of the lesion showed actinomycosis infection. A 36-month follow-up revealed clinical and radiographic healing.