DOI: https://doi.org/10.36347/sjmcr.2026.v14i03.031

Pages: 452-456

Actinomycosis is a rare, chronic granulomatous infection caused primarily by Actinomyces israelii. Although cervicofacial involvement is the most common presentation, intraoral manifestations without clinical or radiologic signs are uncommon and may lead to delayed diagnosis. We report the case of an 87-year-old male patient who complained of intermittent white oral discharge one year after maxillary tooth extraction. Clinical examination revealed intact mucosa without signs of inflammation, fistula, or sinus communication. Cone beam computed tomography (CBCT) excluded oroantral communication and sinus pathology. Definitive diagnosis was established after collection and histopathological examination of the discharge, which revealed actinomycotic colonies. This case highlights the deceptive nature of oral actinomycosis and emphasizes the importance of pathological analysis in persistent unexplained post-extraction complaints.