An uncommon association of chronic odontogenic osteomyelitis and an abscess in the right mandibular region with facial actinomycosis of 6 months duration after several short‐term therapy failures is described.

Case presentation:

The patient was a 55‐year‐old man with chronic inflammation of the right parotid area of the face. , and were isolated from specimens of the subtemporal abscess. Therapy started as clarithromycin and was followed by amoxicillin/clavulanate because of the resistance patterns of co‐infecting .


In this case of facial actinomycosis, a successful therapeutic outcome involved a prolonged therapy as well as the detection of drug‐resistant co‐existing anaerobic bacteria.


Article metrics loading...

Loading full text...

Full text loading...



  1. Badre B., Essaadi M., El Arabi S. ( 2013). Cervicofacial actinomycosis: report of a case. Pan Afr Med J 14:147 [CrossRef]
    [Google Scholar]
  2. Barnard D., Davies J., Figdor D. ( 1996). Susceptibility of Actinomyces israelii to antibiotics, sodium hypochlorite and calcium hydroxide. Int Endod J 29:320–326 [CrossRef]
    [Google Scholar]
  3. Falchero L., Philt F., Berger F., Cordier J‐F. ( 1997). Actinomycose pulmonaire et musculo‐cutanee de la cuisse. Rev Mal Resp 14:141–143
    [Google Scholar]
  4. Jousimies‐Somer H., Summanen P., Citron D., Baron E.J., Wexler H.M., Finegold S.M. ( 2002). Wadsworth Anaerobic Bacteriology Manual. Belmont, CA: Star Publishing Company;
    [Google Scholar]
  5. Mosca A., Miragliotta L., Iodice M.A., Abbinante A., Miragliotta G. ( 2007). Antimicrobial profiles of Prevotella spp. and Fusobacterium nucleatum isolated from periodontal infections in a selected area of southern Italy. Int J Antimicrob Ag 30:521–524 [CrossRef]
    [Google Scholar]
  6. Reichenbach J., Lopatin U., Mahlaoui N., Beovic B., Siler U., Zbinden R., Seger R.A., Galmiche L., Brousse N. other authors( 2009). Actinomyces in chronic granulomatous disease: an emerging and unanticipated pathogen. Clin Infect Dis 49:1703–1710 [CrossRef]
    [Google Scholar]
  7. Wong V.K., Turmezei T.D., Weston V.C. ( 2011). Actinomycosis. BMJ 343:d6099 [CrossRef]
    [Google Scholar]

Data & Media loading...

Most cited this month Most Cited RSS feed

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error