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Actinomycosis

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Etiology: Actinomyces bovis, normal inhabitant of the ruminant oral cavity.

Epidemiology
Common but sporadic disease from infection through wounds to the buccal mucosa by feed or through dental alveoli.


Clinical Findings
  • Initially painless, hard, immovable bony swelling on mandible or maxilla.
  • Eventually discharge of small amounts of pus through one or more openings in skin.
  • The discharge of pus is small in amount
  • and consists of sticky, honey-like fluid containing minute, hard, yellow-white granules.
  • Teeth embedded in the affected bone become malaligned and painful and cause difficult mastication with consequent loss of condition.
  • Excessive swelling of the maxilla may cause dyspnea.

Treatment
  • Surgical debridement
  • Iodides (sodium iodide and potassium iodide) and/or antimicrobial (mainly procaine penciline) orally or parenterally.
 
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