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ATYPICAL ACTINOMYCOSIS INFECTION IN THE ORAL CAVITY OF A PATIENT UNDERGOING BONE MARROW TRANSPLANTATION: CASE REPORT

2022; Elsevier BV; Volume: 134; Issue: 3 Linguagem: Inglês

10.1016/j.oooo.2022.01.142

2212-4411

Yrian Greice Dalla Riva, Ana Carolina Dos Santos Menezes, Lísia Daltro Borges Alves, Fernanda Vieira Heimlich, Maria Midori Miura Piragibe, Débora Lima Pereira, Héliton Spíndola Antunes,

Salivary Gland Tumors Diagnosis and Treatment

Patients undergoing hematopoietic stem cell transplantation are susceptible to several infections. The diagnosis and management of these, however, can be hindered by a clinical pattern different from that clinically described. This is the case of a 48-year-old man diagnosed with acute lymphocytic leukemia, submitted to allogeneic hematopoietic stem cell transplantation, that presented an atypical case of actinomycosis. During hospitalization, he complained of pain in the oral cavity and ulcers with a pseudomembrane that evolved into a necrotic and ischemic aspect. After a viral panel and cytology, an infection with Actinomyces ssp. was diagnosed. He was treated with laser therapy, mouthwash with 0.12% chlorhexidine, acyclovir, fluconazole, and clarithromycin. After 11 days, the lesions showed complete remission; the patient had no more complaints related to the oral cavity or clinical signs indicating recurrence of the infection.