Tuberculous osteomyelitis of the mandible: a case report in a 4-year-old child

The incidence of tuberculosis is increasing worldwide. The disease has a variable mode of presentation and therefore diagnosis is not easy. Although a rare occurrence, the differential diagnosis of tuberculous osteomyelitis must always lurk in the deepest recesses of the dental clinician's mind when routine therapy fails to bring about an improvement in lesions of the jaw. We present an unusual case of tuberculous osteomyelitis in a 4-year-old boy in whom pulmonary tuberculosis was detected only subsequently and emphasize the role of history taking, diagnostic techniques, and management.     

Tuberculous osteomyelitis of the mandible

A rare case of tuberculous osteomyelitis of the mandible presenting as an aggressive, sequestrating lesion of the symphyseal area in a 26-year-old Eritrean woman is reported. The patient had disseminated tuberculosis, and all but the oral lesion responded well to chemotherapy. Upon sequestrectomy and decortication uneventful healing of the mandibular lesion took place.     

Tuberculous osteomyelitis of the mandible.

An unusual case of tuberculous involvement of the mandible in a 22-month-old African girl is presented. Other tissues involved included the small bones of the hands and feet and pulmonary, cervical, and submental lymph nodes. A short discussion of the pathogen involved is offered.     

Chronic suppurative osteomyelitis of the mandible: case report

BACKGROUND: Osteomyelitis of the maxillofacial skeleton is rare in developed countries such as Australia. This case report describes the successful surgical treatment of chronic suppurative osteomyelitis (CSO) of the mandible in a 75 year old man. The precipitant factor was thought to be a retained tooth root in the (right) posterior body of the mandible. METHODS: Treatment included a pre-surgical course of antibiotics (clindamycin 300mg, p.o. q.i.d. for two weeks) followed by removal of the retained root, surgical débridement of the affected bone, the intra-oral draining sinus, and resection of the cutaneous sinus tract. Specimens were taken for bacterial cultures and antibiotic sensitivity testing, and the resected tissue sent for histopathological review. RESULTS: On clinical and radiographic review at three months, the patient was well, completely symptom free and the osteomyelitis had fully resolved. CONCLUSION: This case report demonstrates the typical features of CSO. The combination of antibiotic therapy and surgical débridement was effective in the treatment of chronic suppurative osteomyelitis of the mandible utilizing intravenous sedation, and so averting the need for a general anaesthetic.     

Actinomycotic osteomyelitis of the mandible: report of case.

A case of osteomyelitis of the mandible caused by actinomyces infection is described. Gram stain and cultures of the discharge in fluid thioglycolate medium and blood agar, as well as an analysis of the biochemical properties of the causative organism with API system, indicated the infection was caused by A israelii. Lesions in both hard and soft tissues responded to chemotherapy with cephalexin, minocycline, and aminobenzylpenicillin and drainage of the pus from the cutaneous abscesses.     

Tuberculous osteomyelitis of the mandible with pathologic fracture.

A case of disseminated miliary tuberculosis with a lesion of the left side of the mandible leading to pathologic fracture has been presented. The primary medications and the basic principles of treatment have been reviewed.     

累及双侧下颌骨Garrè’s骨髓炎1例

Garrè’s骨髓炎是一种特殊类型的慢性骨髓炎,大多数继发于牙源性感染的年轻患者,常累及单侧下颌骨。本文报道1例累及双侧下颌骨的Garrè's骨髓炎,并结合相关文献对该病的病因、临床病理学特征、诊断、鉴别诊断、治疗方法等进行讨论。     

Bilateral osteomyelitis of the mandible in pycnodysostosis. A case report

A dwarf suffering from pycnodysostosis was treated for 2 episodes of chronic osteomyelitis of the mandible occurring at an interval of 6 years. Pycnodysostostis, a variant of osteopetrosis, occurs only in dwarfs and is characterised by increased density of bone which may lead to increased susceptibility to fracture and inflammatory disease.