Case Series of Rare Cases of Osteomyelitis
DOI:
https://doi.org/10.52783/jns.v14.2724Keywords:
Osteomyelitis, Children, Prognosis, Maxillary regionAbstract
Background: Inflammation of the bone and bone marrow, primarily from infection in the medullary cavity, is the hallmark of osteomyelitis. It spreads to the periosteum and quickly consumes the haversian system. Compared to today's time and era, osteomyelitis of the jaws was in fact a common discovery prior to the widespread use of antibiotics. Odontogenic infections can be caused by a number of organisms that cause osteomyelitis of the jaws, including Peptostreptococcus, Fusobacterium, Prevotella, Staphylococcus aureus, and Staphylococcus epidermidis.
Case summary: A 3 years old female child presented with complaints of bilateral mandibular swelling and Dental caries since 2 months. On examination the patient had bilateral swelling which was firm in consistency, non-mobile adhered to underlying structure, non-tender, 4*5cm in size. The child was treated with 6 weeks of iv antibiotics for resolution of the symptoms. The 2nd case is a 10 years old male child came to OPD with complain of recurrent localized swelling in the mandibular region and Pain and difficulty in opening his mouth for the past 4 months. Intermittent fever persisting for 1 month. The 3rd case is of a 2 years old female child presented with low grade fever, subside intermittently with oral medications, associated with pus discharge from bilateral ear. CT scan of all 3 patients revealed that osteomyelitis on underlying mandible and maxilla.
Conclusion: Since maxillary osteomyelitis is one of the rarest types of osteomyelitis that occurs nowadays, diagnosing it might be challenging. There is a dearth of information on the epidemiology of maxillary osteomyelitis in India, which emphasizes the necessity of thorough investigation.
Downloads
Metrics
References
Lata J, Pansotra N. Osteomyelitis of maxilla: a rare presentation yet not so rare. J Maxillofac Oral Surg. 2022;21:1023–1031. doi:10.1007/s12663-021-01607-z.
Gupta V, Singh I, Goyal S, Kumar M, Singh A, Dwivedi G. Osteomyelitis of maxilla - a rare presentation: case report and review of literature. Int J Otorhinolaryngol Head Neck Surg. 2017;3:771–776.
Fish AW, Espinosa CJI, Parra VD la R, Quezada SR. Upper jaw chronic osteomyelitis. Report of four clinical cases. Rev Odont Mex [Internet]. 2012 ;16:105–111. Available from: https://www.scielo.org.mx/scielo.php?pid=S1870-199X2012000200006&script=sci_arttext&tlng=en
Hudson JW. Osteomyelitis of the jaws: a 50-year perspective. J Oral Maxillofac Surg. 1993;51:1294–1301. doi:10.1016/s0278-2391(10)80131-4.
Sia IG, Berbari EF. Infection and musculoskeletal conditions: osteomyelitis. Best Pract Res Clin Rheumatol. 2006;20:1065–1081. doi:10.1016/j.berh.2006.08.014.
Auluck A. Maxillary necrosis by mucormycosis. A case report and literature review. Med Oral Patol Oral Cir Bucal. 2007;12:360–364. Available from: https://pubmed.ncbi.nlm.nih.gov/17767099/
Macbeth RG. Osteomyelitis of the maxilla. Proc R Soc Med. 1951;44:1030–1032.
Tsukayama DT. Pathophysiology of posttraumatic osteomyelitis. Clin Orthop Relat Res. 1999;360:22–29.
Peravali RK, Jayade B, Joshi A, Shirganvi M, Bhasker Rao C, Gopalkrishnan K. Osteomyelitis of maxilla in poorly controlled diabetics in a rural Indian population. J Maxillofac Oral Surg. 2012;11:57–66. doi:10.1007/s12663-011-0283-0.
Roine I, Faingezicht I, Arguedas A, Herrera JF, Rodríguez F. Serial serum C-reactive protein to monitor recovery from acute hematogenous osteomyelitis in children. Pediatr Infect Dis J. 1995;14:40–44. doi:10.1097/00006454-199501000-00008.
Lew DP, Waldvogel FA. Osteomyelitis. Lancet. 2004;364:369–379. doi:10.1016/S0140-6736(04)16727-5.
Petrikowski CG, Pharoah MJ, Lee L, Grace MG. Radiographic differentiation of osteogenic sarcoma, osteomyelitis, and fibrous dysplasia of the jaws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;80:744–750. doi:10.1016/s1079-2104(05)80260-4.
Lima AL, Oliveira PR, Carvalho VC, Cimerman S, Savio E. Recommendations for the treatment of osteomyelitis. Braz J Infect Dis. 2014;18:526–534. doi:10.1016/j.bjid.2013.12.005.
Patel V, Harwood A, McGurk M. Osteomyelitis presenting in two patients: a challenging disease to manage. Br Dent J. 2010;209:393–396. doi:10.1038/sj.bdj.2010.927.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
