J 2020

A very rare case of possible actinomycosis of the mandible from the Middle Ages

VARGOVÁ, Lenka, Ladislava HORÁČKOVÁ, Kateřina VYMAZALOVÁ, Alena NĚMEČKOVÁ, Zdeněk TVRDÝ et. al.

Základní údaje

Originální název

A very rare case of possible actinomycosis of the mandible from the Middle Ages

Autoři

VARGOVÁ, Lenka (203 Česká republika, domácí), Ladislava HORÁČKOVÁ (203 Česká republika, domácí), Kateřina VYMAZALOVÁ (203 Česká republika, garant, domácí), Alena NĚMEČKOVÁ (203 Česká republika), Zdeněk TVRDÝ (203 Česká republika), Luděk GALUŠKA (203 Česká republika), Jiří MITÁČEK (203 Česká republika) a Dana FIALOVÁ (203 Česká republika, domácí)

Vydání

International Journal of Paleopathology, New York, Elsevier, 2020, 1879-9817

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30109 Pathology

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 1.393

Kód RIV

RIV/00216224:14110/20:00116446

Organizační jednotka

Lékařská fakulta

UT WoS

000590591900008

Klíčová slova anglicky

Lower jaw; Early Middle Ages; Inflammation; Mycoses; Czech Republic

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 5. 1. 2021 10:00, Mgr. Tereza Miškechová

Anotace

V originále

Objective Documented cases of actinomycosis in archaeological skeletons are very rare, especially from Central Europe. Our contribution will help facilitate the differential diagnosis of this disease for other paleopathologists. Material This paper describes a pathological finding of the skeleton of a 40-year-old male from a burial ground in Sady-Špitálky (Czech Republic) dated to the 10th-12th century. Methods The affected skeleton was evaluated as a probable case of actinomycosis on the basis of a detailed macroscopic, X-ray and histological examination. The osteolytic foci examined were compared with similar changes caused by tuberculosis, syphilis and mycoses. Results The character and location of the defect on the mandible is indicative of organ actinomycosis and is also reflected by the lytic lesion observed on a lumbar vertebra. Conclusions The described case can be considered one of the very rare paleopathological findings of possible actinomycosis in humans in Central Europe. Significance Good evidence of bone actinomycosis findings may be beneficial for further paleopathological and epidemiological studies, especially for research focused on the diachronic development of actinomycosis in Europe. In doing so, all available factors, such as hygiene habits, nutrition, social structure and overall health of the population that could be causally related to its origin, course and treatment, can be taken into account. Limitations The mandible of the studied individual was damaged, especially in the area affected by the lesion, so the paleopathological analysis was difficult to perform. Suggestion for the future research In future, actinomycosis in this skeleton may be confirmed by bio-molecular analysis.