Actinomycosis in a Mucosal Lesion on a Created Perioral Dimple: A Case Report.
10.14730/aaps.2017.23.3.155
- Author:
Ui Geon KIM
1
;
Chung Hun KIM
;
Kyung Suk KWON
;
Euna HWANG
Author Information
1. Department of Plastic and Reconstructive Surgery, Bundang CHA Medical Center, CHA University School of Medicine, Seongnam, Korea. pshwang@chamc.co.kr
- Publication Type:Case Report
- Keywords:
Actinomycosis;
Immunosuppressive agents;
Infection
- MeSH:
Actinomyces;
Actinomycosis*;
Arthritis, Rheumatoid;
Cheek;
Diabetes Mellitus;
Diagnosis;
Female;
Humans;
Hygiene;
Immunocompromised Host;
Immunosuppressive Agents;
Methotrexate;
Middle Aged;
Opportunistic Infections;
Oral Hygiene;
Plastics;
Surgeons;
Surgery, Oral;
Sutures
- From:Archives of Aesthetic Plastic Surgery
2017;23(3):155-158
- CountryRepublic of Korea
- Language:English
-
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.
