Saenz-Quiroz L, Palacios-Alva E, Castro-Rodríguez Y

Language: Spanish
References: 14
Page:
PDF size: 564.14 Kb.

ABSTRACT

Introduction: Chronic mandibular osteomyelitis is considered to be an odontogenic infection manifesting as facial tumefaction, limited mouth opening and pain. It is not often enough treated with ciprofloxacin fixation gammagraphies with the consequent achievement of effective results.
Objective: Describe a clinical case of chronic mandibular osteomyelitis treated with antibiotic and surgical therapy.
Case presentation: A female 63-year-old patient attends the dental service at María Auxiliadora Hospital in Lima, Peru, with a history of three-months' swelling of the lower left edge of her mandible upon performance of a dental extraction. Tomographic examination, gammagraphy, biopsy and antibiograms confirmed the presence of osteomyelitis and bacterial susceptibility. Decortication, debridement, exodontia and administration of metronidazole plus vancomycin for two months led to remission of the patient's status.
Conclusions: Two-year clinical follow-up and evaluation gammagraphies made it possible to verify the presence of bone regeneration and the absence of reactivation foci. Chronic osteomyelitis may be caused by remains of dental exodontias. Its diagnosis and clinical follow-up require a large number of long-term tests and controls.

REFERENCES

1. Taihi I, Radoi L. Chronic non-suppurative mandibular osteomyelitis with proliferative periostitis: A review. Quintessence Int. 2018;49(3):219-26. PMID 29399678

2. Noguchi T, Okada N, Tsuchiya Y, Sarukawa S, Fujita A, Nishino H, et al. Management of a brain abscess presumably caused by radiation osteomyelitis of the mandible. J Craniofac Surg. 2018;29(1):e18-e20. PMID: 28968316

3. Thompson PW, Williams JK. Mandibular osteomyelitis and cervical lymphadenitis due to mycobacterium abscessus: surgical management of a pediatric cohort with a shared epidemiologic exposure. J Craniofac Surg . 2017;28(8):1960-5. PMID: 28938329

4. Koutserimpas C, Samonis G, Plataki MN, Bikis C, Kontakis G, Kofteridis DP. Multidrug-resistant Gram-negative osteomyelitis: a 10-year study. G Chir. 2018;39(5):284-90. PMID: 30368266

5. Ciampolini J, Harding KG. Pathophysiology of chronic bacterial osteomyelitis: why do antibiotics fail so often? Postgrad Med J. 2000;76:479-83. PMID: 10908375

6. Donati L, Quadri P, Reiner M. Reactivation of osteomyelitis caused by Staphylococcus aureus after 50 years. J Am Geriatr Soc. 1999;47:1035-7. PMID: 10443871

7. Conterno LO, Turchi MD. Antibiotics for treating chronic osteomyelitis in adults. Cochrane Database of Systematic Reviews. 2013;9:CD004439. PMID: 24014191

8. Saint Amand MJ, Sigaux N, Gleizal A, Bouletreau P, Breton P. Chronic osteomyelitis of the mandible: A comparative study of 10 cases with primary chronic osteomyelitis and 12 cases with secondary chronic osteomyelitis. J Stomatol Oral Maxillofac Surg. 2017;118(6):342-8. PMID: 28823691

9. Walter G, Kemmerer M, Kappler C, Hoffmann R. Treatment algorithms for chronic osteomyelitis. Dtsch Arztebl Int. 2012;109(14):257-64. PMID: 22536302

10. Haidar R, Der Boghossian A, Atiyeh B. Duration of post-surgical antibiotics in chronic osteomyelitis: empiric or evidence-based? Int J Infect Dis. 2010;14:e752-8. PMID: 20471296

11. Norden CW, Bryant R, Palmer D, Montgomerie JZ, Wheat J. Chronic osteomyelitis caused by Staphylococcus aureus: controlled clinical trial of nafcillin therapy and nafcillinrifampin therapy. South Med J. 1986;79:947-51. PMID: 3526570

12. Hamrick HJ. Chronic nonbacterial osteomyelitis of the mandible: recognition, etiology, and management. Clin Pediatr (Phila). 2018;57(4):475-7. PMID: 28805072

13. Schlund M, Raoul G, Ferri J, Nicot R. Mandibular osteomyelitis following implant placement. J Oral Maxillofac Surg. 2017;75(12):2560. PMID: 28850817

14. Wang Y, Yang C, Zhang W, Lu Y, Wei W, Han Z, Chen M. Monofocal chronic nonbacterial osteomyelitis in the mandible accompanied with mucocutaneous disease. J Craniofac Surg . 2017;28(6):e547-51. PMID: 28692524