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Bilateral mandibular osteomyelitis mimicking periapical cysts in a patient with sickle cell anemia

Sickle cell anemia (SCA) is a hemoglobin disorder that occurs more commonly among Afro-descendants. The authors report the case of a 28-year-old Afro-descendent male patient with the diagnosis of homozygotic sickle cell disease (SCD) referred for evaluation of mandibular lesions. The patient’s main...

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Autores principales: Araújo, Juliane Pirágine, Cadavid, Ana Maria Hoyos, Lemos, Celso Augusto, Trierveiler, Marilia, Alves, Fabio Abreu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: São Paulo, SP: Universidade de São Paulo, Hospital Universitário 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4636108/
https://www.ncbi.nlm.nih.gov/pubmed/26558249
http://dx.doi.org/10.4322/acr.2015.013
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author Araújo, Juliane Pirágine
Cadavid, Ana Maria Hoyos
Lemos, Celso Augusto
Trierveiler, Marilia
Alves, Fabio Abreu
author_facet Araújo, Juliane Pirágine
Cadavid, Ana Maria Hoyos
Lemos, Celso Augusto
Trierveiler, Marilia
Alves, Fabio Abreu
author_sort Araújo, Juliane Pirágine
collection PubMed
description Sickle cell anemia (SCA) is a hemoglobin disorder that occurs more commonly among Afro-descendants. The authors report the case of a 28-year-old Afro-descendent male patient with the diagnosis of homozygotic sickle cell disease (SCD) referred for evaluation of mandibular lesions. The patient’s main complaints included pain and bilateral teeth mobility. An intraoral examination revealed gingiva recession affecting the lower molars with extensive root exposure. A panoramic x-ray showed two radiolucent symmetrical periapical lesions evolving both the first and the second lower molars, bilaterally. The diagnostic hypotheses comprised odontogenic infection, among others. Besides antimicrobial therapy, the two molars of both sides were extracted and bone was collected for histopathological and microbiological analyses. Osteomyelitis was diagnosed, and Streptococcus viridans was recovered from the culture media. Mandibular osteomyelitis should be considered as a diagnosis in patients with SCD. The present case offers an alert to clinicians about the importance of knowing jaw lesions related to SCA.
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spelling pubmed-46361082015-11-10 Bilateral mandibular osteomyelitis mimicking periapical cysts in a patient with sickle cell anemia Araújo, Juliane Pirágine Cadavid, Ana Maria Hoyos Lemos, Celso Augusto Trierveiler, Marilia Alves, Fabio Abreu Autops Case Rep Article / Clinical Case Report Sickle cell anemia (SCA) is a hemoglobin disorder that occurs more commonly among Afro-descendants. The authors report the case of a 28-year-old Afro-descendent male patient with the diagnosis of homozygotic sickle cell disease (SCD) referred for evaluation of mandibular lesions. The patient’s main complaints included pain and bilateral teeth mobility. An intraoral examination revealed gingiva recession affecting the lower molars with extensive root exposure. A panoramic x-ray showed two radiolucent symmetrical periapical lesions evolving both the first and the second lower molars, bilaterally. The diagnostic hypotheses comprised odontogenic infection, among others. Besides antimicrobial therapy, the two molars of both sides were extracted and bone was collected for histopathological and microbiological analyses. Osteomyelitis was diagnosed, and Streptococcus viridans was recovered from the culture media. Mandibular osteomyelitis should be considered as a diagnosis in patients with SCD. The present case offers an alert to clinicians about the importance of knowing jaw lesions related to SCA. São Paulo, SP: Universidade de São Paulo, Hospital Universitário 2015-09-30 /pmc/articles/PMC4636108/ /pubmed/26558249 http://dx.doi.org/10.4322/acr.2015.013 Text en Autopsy and Case Reports. ISSN 2236-1960. Copyright © 2014. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed of terms of the Creative Commons Attribution Non-Commercial License which permits unrestricted non-commercial use, distribution, and reproduction in any medium provided article is properly cited.
spellingShingle Article / Clinical Case Report
Araújo, Juliane Pirágine
Cadavid, Ana Maria Hoyos
Lemos, Celso Augusto
Trierveiler, Marilia
Alves, Fabio Abreu
Bilateral mandibular osteomyelitis mimicking periapical cysts in a patient with sickle cell anemia
title Bilateral mandibular osteomyelitis mimicking periapical cysts in a patient with sickle cell anemia
title_full Bilateral mandibular osteomyelitis mimicking periapical cysts in a patient with sickle cell anemia
title_fullStr Bilateral mandibular osteomyelitis mimicking periapical cysts in a patient with sickle cell anemia
title_full_unstemmed Bilateral mandibular osteomyelitis mimicking periapical cysts in a patient with sickle cell anemia
title_short Bilateral mandibular osteomyelitis mimicking periapical cysts in a patient with sickle cell anemia
title_sort bilateral mandibular osteomyelitis mimicking periapical cysts in a patient with sickle cell anemia
topic Article / Clinical Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4636108/
https://www.ncbi.nlm.nih.gov/pubmed/26558249
http://dx.doi.org/10.4322/acr.2015.013
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