Management of mandibular osteomyelite in a pediatric patient: case report
DOI:
https://doi.org/10.33448/rsd-v10i2.12853Keywords:
Osteomyelitis; Child; Jaw.Abstract
Osteomyelitis is an acute or chronic inflammatory process in the medullary or cortical spaces of the bone. Most of it is caused by bacterial infection resulting in a lytic and expansive destruction of the involved bone, with suppuration and formation of bone sequestration. It is rare in pediatric patients and the prevalence is higher in male patients, with the mandible being the most affected bone. The objective of this work is to report a clinical case of a child with osteomyelitis, discussing the correct diagnosis, its surgical treatment and pharmacological protocol. Female patient, 11 years old, with enlarged volume in the left submandibular masticatory space after tooth extraction 36, with the presence of inflammatory signs. Radiographic examination showed an irregular radiolucent lesion compatible with bone sequestration, suggestive of osteomyelitis. Pharmacological protocol based on broad-spectrum antibiotic therapy was instituted and bone cleaning and curettage were surgically performed. It is known that osteomyelitis is a complication commonly associated with immunodepressed patients, but it can occasionally occur in healthy patients, and treatment and early diagnosis is fundamental, especially in pediatric patients, as it becomes a potential cause for more severe infectious conditions. and complex, being able to spread and reach noble structures like the cavernous sinuses, leading to death.
References
Baltieri, B. R., Gabrielli, M. A. C., Gabrielli, M. F. R., Pereira Filho, V. A., Lopes, F. S., & Leite, V. A. (2014). Osteomielite em mandíbula de criança. Revista de Odontologia da UNESP, 43(Especial), 0-0.
Brasileiro Filho, G. B. (2011). Patologia. 8. Ed. Rio De Janeiro.
Bruder, E., Jundt, G., & Eyrich, G. (2009). Pathology of osteomyelitis. In Osteomyelitis of the Jaws (pp. 121-133). Springer, Berlin, Heidelberg.
Coello, E. M. P., Lúa, I. M. A., Moyano, D. M. C., & Rodríguez, J. D. C. (2020). Osteomielitis aguda: manifestaciones clínicas, diagnóstico y tratamiento. RECIMUNDO, 4(1 (Esp)), 210-218.
Ellis III, E., Hupp, J. R., & Peterson, L. J. (2015). Cirurgia oral e maxilofacial contemporânea. Rio de Janeiro.
Hawkins, DR e Strauss, RA (2020). Osteomielite. Musculoskeletal Infections: A Clinical Case Book , 111.
JB, A., Lima Fonseca, K. C., Queiroz Danda, T. F., de Sousa Teixeira, A. L., & Azenha, M. R. (2018). Suppurative Chronic Osteomyelitis: Case Report. International Journal of Biomedical Investigation, 1(2).
Kumar, V., Abbas, A. K., Fausto, N., & Aster, J. C. (2014). Robbins and Cotran pathologic basis of disease, professional edition e-book. Elsevier health sciences.
Lima, E. D. N. D. A., Carvalho, C. H. P. D., Pereira, J. D. S., Medeiros, A. M. C. D., Galvão, H. C., & Germano, A. R. (2010). Report of Diffuse Sclerosing Osteomyelitis in a diabetic patient. Revista de Cirurgia e Traumatologia Buco-maxilo-facial, 10(2), 19-23.
Masocatto, D. C., Oliveira, M. M., & de Mendonça, J. C. G. (2017). Osteomielite crônica mandibular: relato de caso. ARCHIVES OF HEALTH INVESTIGATION, 6(2).
Mercuri, L. G. (1991). Acute osteomyelitis of the jaws. Oral and maxillofacial surgery clinics of North America, 3(2), 355-365.
Neville, B. (2011). Patologia oral e maxilofacial. Elsevier Brasil.
Paim, L. B., Liphaus, B. L., Rocha, A. C., Castellanos, A. L., & Silva, C. A. (2003). Chronic recurrent multifocal osteomyelitis of the mandible: report of three cases. J Pediatr (Rio J), 79(5), 467-70.
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica.
RibeiroI, A. L. R., de Oliveira MendesII, F. R., de MeloII, M. M., JúniorI, J. T. C., & PontesIV, H. A. R.
(2009). Tratamento da osteomielite supurativa crônica de mandíbula em criança com curto período de hospitalização. Rev. Cir. Traumatol. Buco-Maxilo-Facial, 9, 9-16.
Schuknecht, B. F., Carls, F. R., Valavanis, A., & Sailer, H. F. (1997). Mandibular osteomyelitis: evaluation and staging in 18 patients, using magnetic resonance imaging, computed tomography and conventional radiographs. Journal of Cranio-Maxillofacial Surgery, 25(1), 24-33.
Spazzin, A. O., Camargo, B., De Conto, F., Flores, M. E., & Rovani, G. (2004). Osteomielite dos maxilares. Rev Med HSVP, 16, 23-7.
Topazian, R. G., Goldberg, M. H., & Rupp, J. R. (2006). Infecções orais e maxilofaciais. Santos.
Zemann, W., Feichtinger, M., Pau, M., & Kärcher, H. (2011). Primary osteomyelitis of the mandibular condyle—a rare case. Oral and maxillofacial surgery, 15(2), 109-111.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Kalyne Kelly Negromonte Gonçalves; Thawan Lucas Rodrigues Mendonça; Vitória Helena Sales do Nascimento; Olímpio Francisco da Costa Neto; Demóstenes Alves Diniz; Francisco Alves de Souza Júnior; Marcelo Soares dos Santos; Caio César Gonçalves Silva; Allan Vinícius Martins de Barros; Carlos Augusto Pereira do Lago; Belmiro Cavalcanti do Egito Vasconcelos
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
