NUMERO: #20250156

Título: INTRAORAL ACTINOMYCOSIS IN A PATIENT WITH KIDNEY-PANCREAS TRANSPLANT: RESOLUTION WITH CONSERVATIVE MANAGEMENT

Nome do Apresentador: Camila de Oliveira BARBEIRO

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Estomatologia

Resumo: Actinomycosis is a rare, chronic bacterial infection that can mimic malignant or fungal diseases, particularly in immunosuppressed patients. A 33-year-old female presented with painful fibrinopurulent lesions on the hard palate and upper lip, impairing oral intake, with 15 days evolution time. Her medical history revealed type I diabetes for over 25 years, which was complicated by pregnancy and hypertension, leading to end-stage renal disease and, consequently, a combined kidney-pancreas transplant four years prior to the current presentation. An incisional biopsy was performed, and the histopathological analysis showed typical features of actinomycosis. The patient was treated conservatively with benzathine benzylpenicillin (IM/two weeks), surgical debridement, and a 14-day course of amoxicillin (oral, 8/8h), leading to complete resolution of the lesions after four weeks. No recurrence was observed after 1-year follow-up. This case underscores the importance of early diagnosis of actinomycosis, especially in immunocompromised patients, enabling effective surgical and antibiotic treatment.

Autor 1:  Camila de Oliveira BARBEIRO

E-mail 1:  [email protected]

Autor 2:   Matheus Henrique Lopes DOMINGUETE

E-mail 2:  [email protected]

Autor 3 :  Diego Andrade GOMES

E-mail 3:  [email protected]

Autor 4:  Thales Peres Candido MOREIRA

E-mail 4:  [email protected]

Autor 5:  Marcelo Borges MARQUES

E-mail 5:  [email protected]

Autor 6:  Andreia BUFALINO

E-mail 6:  [email protected]

Autor 7:  Jorge Esquiche LEÓN

E-mail 7:  [email protected]