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UNCOMUM CHRONIC OSTEOMYELITIS: CASE REPORT

2022; Elsevier BV; Volume: 134; Issue: 3 Linguagem: Inglês

10.1016/j.oooo.2022.01.544

2212-4411

Amanda De Macedo Silva, Edson Erick Fernandes De Queiroz, Giuliana Moura Luz Cordeiro Brasil, Éverton Freitas de Morais, Leonardo Magalhães Carlan, Francisco De Assis De Souza,

Infectious Diseases and Tuberculosis

The aim of this case report is to present an uncommon case of a chronic osteomyelitis. A 58-year-old dark-skinned female patient with a history of trauma in the region had clinically facial asymmetry and an ulcerated lesion with exposure of necrotic bone associated with purulent secretion in the alveolar ridge of the region of element 46. Cone beam computed tomography was requested, which revealed a well-defined hyperdense lesion, surrounded by a hypodense area with irregular margins and, adjacent to the lesion, areas of spherical bone condensation. Thus, the clinical diagnosis was chronic osteomyelitis. The patient used clindamycin for 1 week, showing considerable improvement in the condition and, subsequently, surgical curettage of the lesion was performed. The removed material was sent for histopathologic analysis, where the microscopic diagnosis was compatible with chronic osteomyelitis. The patient has been in follow-up for 1 year with no recurrence. The aim of this case report is to present an uncommon case of a chronic osteomyelitis. A 58-year-old dark-skinned female patient with a history of trauma in the region had clinically facial asymmetry and an ulcerated lesion with exposure of necrotic bone associated with purulent secretion in the alveolar ridge of the region of element 46. Cone beam computed tomography was requested, which revealed a well-defined hyperdense lesion, surrounded by a hypodense area with irregular margins and, adjacent to the lesion, areas of spherical bone condensation. Thus, the clinical diagnosis was chronic osteomyelitis. The patient used clindamycin for 1 week, showing considerable improvement in the condition and, subsequently, surgical curettage of the lesion was performed. The removed material was sent for histopathologic analysis, where the microscopic diagnosis was compatible with chronic osteomyelitis. The patient has been in follow-up for 1 year with no recurrence.