ACTINOMYCOTIC DISCHARGING SINUS OF THE ORAL CAVITY IN UNCONTROLLED TYPE 2 DIABETES IN GINGIVA; A RARE MANIFESTATION

Sapna Yadav*, K. S Yadav and Karishma Anna Barrow

ABSTRACT

Due to the rising incidence of diabetes mellitus common focus areas for diabetes control are blood glucose levels, diet, and exercise. Patients with uncontrolled blood sugar are considered immunosuppressed due to the deleterious effects of elevated blood sugars on the immune system. Actinomycosis is saprophytic infectious agent that causes suppurative lesions with formation of noncaseous granuloma. Although cervicofacial actinomycosis is known to be the most common type, intraorally and periodontally types occur rarely in a localized fashion. This case reports presents a actinomycotic lesion which was limited to the gingiva and had draining sinus in a middle age adult with uncontrolled diabetes. The patient responded to sestive antibiotics (Amoxicilline and claulanate 1gm twice daily ) 4 weeks with root canal treatment and performed with oral hygiene reinforcement and periodontal debridement procedures and control of diabetes.Complete improvement of the lesion was observed after 4 weeks.Therefore in immune suppressed patients the early consideration of opportunistic infection like actinomycotic should be considered and managed accordingly.

Keywords: Actinomycosis, draining sinus, intraoral lesions, diabetes mellitus.