ii
ç.
O.'Zir. Fak, Hyv. Yet. ve ıslahı Bölümü A CASE REPORT ON ACTINOMYCOSISN. Küçüker* J. Bir AktmoDlikoz Olayı
Özet: Aktinomikoz çoğunluk sığırlarda görülen bir hastalıkıır. Çene kemiklerinde ve yumuşak dokularda bozukluk yapabilir. Klinik semptomlar ve hastalığın kronik gidişi göz önünde bulundurulduğunda ıeşhis kolayolur. İlerlemiş olaylarda progncz ch-erişli de-ğildir. Zama~ı~da uygulanan radikaloperasyonlardan başarılı sonuç alınabilir.
Suınrnary: Actinomycosis usually occur in catlle. This disease may involve ıhe hard and soft tissues'of the head. The diagnosis can be esıablished by clinical and the chronic course of the disease. Prognosis is not available in highly progressed cases. Successful result can be obtained by the towl resection performed in time.
İntroduction
Actinomycosis is usuaııy seen in cattle in aıı parts of the world.
ı
5 to 20 millions cattle out of 200 000 cascasses which wereslaugh-tered under federal control are annuaııy de3troyed (2, 4). Upper and lower jaw bones are generaııy involved in this disease (ı, 2, 3).
tt is known that lesion in bony tissue is caused by
ACTİNOMY-CES and soft tissues are infected by AÇTİ~OBACİLLUS. This
causative 'ô'rganisms enter the tissues through the dental alveoli or
through delinaged oral mucosa via the sharp awns of small grains
(ı,
2)."
Difficulty in mastication and swaııowing and a slight bulging
over the jaw bones can be obsen'ed early in the course of the disease. The lesiorts are chronically developed, if the patient is neglected or
edelayed treatments can not produce benefits (4).
The best treatment of actinobacillosis is the application of the
various forms of iodine. Large granulomatous mass can be resected by
surgical in!ervention. Antibiotics and x- Ray have been
recommen-• Doç. Dr. Veteriner Hekim
A Case Report On Actinomycosi. 67
ded as supplimentary aid on the treatment of this disease. Finaııy it is
very' diffieult to realize a treatment for aetinomyeosis, but tissue lesions
have responded weıı to surgieal intervention and iodine therapy.
Material and Method
A three years old eow was presented for pandulated tumor whieh
was loeated under mandibular bone and bulging on lateral side of
the same bone (Figure: 1). As far as we were informed, the lesions
have been started by -hitting a hom approximately a year prior to
presentation.
The patient was brought to a surgieal plane of anesthesia by
ROMPUN and plaeed in lateral reeumbeney. Pandulated tumor
(ACTINOMYCOTIC GRANULOMA) was easily rcsceted. A skin
ineision was made approximately 15 eentimetres approehing the
tu--mors whieh were loeated beneath the bulging area (Fig(ıre: 2). Three pieees of tumor eaeh one as big as an egg wefe observed
(ACTINOMYCOTIC EPULIS). One of them was removed and
bleeding was eontrolled by using an aetual eotery. The medial
de-vİation ofpremolar row and porotic view of the bone
(ACTINOMY-COTIC OSTEOMYELİTIS) have been exposed as other lesions
(Figure :. 3). it was thought that the lesion will become active again so the patient was slaııghtered.
Conclusion
Early diagnosis of the aetinomyeosis have responded(weıı to sur-gieal intervention, iodine and some other kind of therapy'.'
Our observation was very interesting from th~ point C!,fview that
three types of the aetinomyeotie lesions (Granuloma, ePH~isand
os-teomyelitis) existed together. Deviation of the dental row ins not usuaL. For this reason in the eases of aetinomyeosis very detailed ~;"amination has to be done and the patient has to be sent to the slaughter house
before loss of weight. . Gl
jl
References
1- Berker, S.Z. ve Oktem, B. (1968): Genel Şirurji. II. Baskı, A.Ü.
Veteriner Fakültesi Yayınları: 220, Ders Kitabı: l
f
2, Ankara68 :'I. Kiiçükcr
2- Gibbons, W.J. (1963): Diseases of Cattle, American Veterinary
Publications, Inc. 114 North West Street, Wheatün, Illinüis,
Dra-wer KK, Santa Barbara, Califürnia.
3- Sengir. E. (1962): Genel P(Jtol~ji, A.Ü. Veteriner Fakültesi
Yayın-ları: 11 Ders Kitabı: 9, II. Baskı, Ankara Üniversitesi Basımevi.
4- Sınith, H.A. and jones, T.C. (1966): Veterinaıy Patholog)ı, Third
Editiün, Lea and Febigcr, Philadelphia.
Yazı "Dergi Yazı J(urulu"na 2.2.
ı
977 günü gelmiştir.ı\ euse Report On ı\ctiııoınyeo,is
Figurc 2: Actinomycotic cpulis.
Figurc 3: Actinornycotic ostcomyclitis secn from several aspects.