Actinomycosis in a Mucosal Lesion on a Created Perioral Dimple: A Case Report
Archives of Aesthetic Plastic Surgery
;
: 155-158, 2017.
Article
in English
| WPRIM
| ID: wpr-191597
ABSTRACT
Facial dimple creation is a simple surgical procedure. Nonetheless, several complications can occur. Actinomycosis is a rare chronic granulomatous infection caused by Actinomyces species. Some conditions that can cause actinomycosis are trauma, oral surgery, and poor dental hygiene. We report a case of actinomycosis that developed on a created facial dimple. A 51-year-old woman presented with a palpable mass on her left cheek that was approximately 1 cm in size. She had undergone facial dimple-creating surgery on both perioral areas at a local clinic 12 years previously. She had not experienced any problems until she was diagnosed with rheumatoid arthritis and diabetes mellitus about 2 years previously, for which she took leflunomide and methotrexate. The mass was completely excised through an intraoral approach. The specimen was grossly described as a gray-yellow cystic mass containing non-absorbable suture material. The filamentous nature of the Actinomyces organisms was observed in dark-stained foci on a histologic examination, confirming the diagnosis of actinomycosis. Indwelling non-absorbable suture materials may increase the risk for opportunistic infections, such as actinomycosis, in immunocompromised patients. Therefore, plastic surgeons should be aware of a patient's general hygiene, immune condition, and medical history when using these materials.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Oral Hygiene
/
Plastics
/
Arthritis, Rheumatoid
/
Surgery, Oral
/
Sutures
/
Opportunistic Infections
/
Actinomyces
/
Actinomycosis
/
Cheek
/
Methotrexate
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Archives of Aesthetic Plastic Surgery
Year:
2017
Type:
Article
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