Mandibular osteomyelitis after traumatic tooth extraction: Case report
DOI:
https://doi.org/10.33448/rsd-v11i1.24815Keywords:
Osteomyelitis; Diagnosis; Mortality; Drug therapy.Abstract
The objective of this study is to report a case of chronic osteomyelitis in the unilateral body, branch and head of the jaw after traumatic extraction. Male patient, 45 years old, referred to the Oral-Maxillofacial Surgery and Traumatology Service of Maria Aparecida Pedrossian’s University Hospital in Campo Grande - MS for the treatment of odontogenic infection affecting the pre-auricular region with right oral and submandibular extension, hardened on palpation and with extraoral fistula with active drainage of purulent secretion. On intraoral examination, alveoli with signs of recent extraction, teeth 47 and 48, and limitation of mouth opening. On tomography, bone degeneration of the head and right mandibular branch compatible with osteomyelitis. Intraoral and extraoral drainage was performed with debridement of the alveolar region of teeth 47 and 48 and installation of a transfixing drain under local anesthesia. On biochemical examinations, he presented iron deficiency anemia, with reduced hemoglobin values, suggestive of low immune response leading to rapid spread of infection. Patient remained hospitalized for intravenous drug treatment for 59 days (vancomycin, ciprofloxacin and meropenem) for remission of the infectious condition associated with culture procedures, antibiogram and curettage of the mandibular body region. After the mentioned treatment, the patient presented a satisfactory response with remission of symptoms and continued in outpatient follow-up without complaints and/or complications.
References
Baur, D. A., Altay, M. A., Flores-Hidalgo, A., Ort, Y., Quereshy, F. A. 2015. Chronic osteomyelitis of the mandible: diagnosis and management-an institution's experience over 7 years. Journal of Oral and Maxillofacial Surgery. 73(4):655-65. doi: 10.1016/j.joms.2014.10.017.
Brook, I., Frazier, E, H. 1993. Anaerobic osteomyelitis and arthritis in a military hospital: a 10-year experience. The American Journal of Medicine. 94(1):21-8.
Désévaux, C., Lenaerts, V., Girard, C., Dubreuil, P. 2002. Characterization of crosslinked high amylose starch matrix implants. 2. In vivo release of ciprofloxacin. Journal of Controlled Release. 18;82(1):95-103. doi: 10.1016/s0168-3659(02)00132-3.
González-Navarro, B., Arranz-Obispo, C., Albuquerque, R., Jané-Salas, E., López-López, J. 2017. Osteomyelitis of the jaw (with pathological fracture) following extraction of an impacted wisdom tooth. A case report. Journal of Stomatology, Oral Maxillofacial Surgery. 118(5):306-309. doi: 10.1016/j.jormas.2017.05.003.
Kim, S. G., Jang, H. S. 2001. Treatment of chronic osteomyelitis in Korea. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, Endodontology. 92(4):394-8.
Koorbusch, G. F., Fotos, P., Goll, K. T. 1992. Retrospective assement of osteomyelitis. Oral Surgery, Oral Medicine, Oral Pathology. 74(2):149-54.
Lew, D. P., Waldvogel, F. A. 1997. Osteomyelitis. The New England Journal of Medicine. 336(14):999-1007.
Licciardello, V., Bertuna, G., Samperi, P. 2007. Craniofacial morphology in patients with sickle cell disease: a cephalometric analysis. European Journal of Orthodontics. 29(3): 238-42.
Lima, A. L., Oliveira, P. R., Carvalho, V. C., Cimerman, S., Savio, E. 2014. Diretrizes Panamericanas para el Tratamiento de las Osteomielitis e Infecciones de Tejidos Blandos Group. Recommendations for the treatment of osteomyelitis. The Brazilian Journal of Infectious Diseases. 18(5):526-34.
Lipsky, B. A., Berendt, A. R. 2010. Osteomyelitis. ACP Medicine. 1-20.
Maffulli, N., Papalia, R., Zampogna, B., Torre, G., Albo, E., Denaro, V. 2016. The management of osteomyelitis in the adult. Surgeon. 14(6):345-360. doi: 10.1016/j.surge.2015.12.005.
Mardini, S., Gohel, A. 2018. Imaging of Odontogenic Infections. Radiologic Clinics of North America. 56(1):31-44. doi: 10.1016/j.rcl.2017.08.003.
Masocatto, D. C., Oliveira, M. M., Mendonça, J. C. G. 2017. Osteomielite crônica mandibular: relato de caso. Archives of Health Investigation. 6(2):48-52.
Miloro, M., Ghali, G. E., Larsen, P. E. Waite, P. D. 2016. Princípios de cirurgia bucomaxilofacial de Peterson. 3. ed. São Paulo: Santos Editora. 1344 p.
Organização Mundial da Saúde. (2020). Anaemia. https://www.who.int/health-topics/anaemia.
Pereira, P. A., Shitsuka, D. M., Parreira, F. J., Shitsuka, R. 2018. Metodologia da pesquisa científica UFSM, NTE. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1.
Reinert, S., Widlitzek, H., Venderink, D. J. 1999. The value of the magnetic resonance imaging in the diagnosis of mandibular osteomyelitis. British Journal of Oral and Maxilllofacial Surgery. 37(6):459-63.
Sia, I. G., Berbari, E. F. 2006. Osteomyelitis. Best Practice & Research: Clinical Rheumatology. 20(6): 1065-1081.
Silva, I. L., de Alencar, L. B. B., de Sousa, S. C. A., de Araújo, O. S. M., Moura, A. B. R., de Medeiros, L. A. D. M. et al. Research, Society and Development. 9(7): e619974522, 2020. DOI: http://dx.doi.org/10.33448/rsd-v9i7.4522.
Souza , Y. D., Seco, A. J. L. G., Silva, J. C. L. Da, Pereira, K. F. S., Jardim, E. C. G. 2021. Kaposi’s Sarcoma in an HIV and Covid-19 positive patient. Research, Society and Development. 10(11): e19101119149. DOI: 10.33448/rsd-v10i11.19149.
Topazian, R. G., Goldberg, M. H. 1997. Infecções maxilofacias e orais. São Paulo: Santos.
Wakasa, T., Higuchi, Y., Hisatomi, M., Aiga, H., Honda, Y., Kishi, K. 2002. Application of dynamic CT for various diseases in the oral and maxillofacial region. European Journal of Radiology. 44(1):10-5.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Isabella Schefler Henrique Cordeiro; Jose Carlos Garcia de Mendonça; Gustavo Silva Pelissaro; Daniella Moraes Antunes; Julio Cesar Leite da Silva; Maisa de Oliveira Aguillera; Francielly Thomas Figueiredo; Ellen Cristina Gaetti Jardim
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.
