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A diagnostic dilemma in pediatric osteomyelitis: a case report

Infantile osteomyelitis is a rare disease that is infective in nature and may rapidly turn fatal, as the disease is often misdiagnosed due to its varied presenting signs. Early diagnosis may help in avoiding systemic involvement and permanent deformity. The disease presents with signs of orbital inv...

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Autores principales: Mandrekar, Pooja Narendra, Gavhane, Sanket, Fernandes, Trishala Bhadauria, Dhupar, Vikas, Dhupar, Anita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Association of Oral and Maxillofacial Surgeons 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9065644/
https://www.ncbi.nlm.nih.gov/pubmed/35491143
http://dx.doi.org/10.5125/jkaoms.2022.48.2.117
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author Mandrekar, Pooja Narendra
Gavhane, Sanket
Fernandes, Trishala Bhadauria
Dhupar, Vikas
Dhupar, Anita
author_facet Mandrekar, Pooja Narendra
Gavhane, Sanket
Fernandes, Trishala Bhadauria
Dhupar, Vikas
Dhupar, Anita
author_sort Mandrekar, Pooja Narendra
collection PubMed
description Infantile osteomyelitis is a rare disease that is infective in nature and may rapidly turn fatal, as the disease is often misdiagnosed due to its varied presenting signs. Early diagnosis may help in avoiding systemic involvement and permanent deformity. The disease presents with signs of orbital involvement, nasal congestion, and emesis, as well as other standard hallmarks of infection. Furthermore, the maxilla is a highly vascular and porous bone and the occurrence of osteomyelitis in an infant maxilla is highly uncommon. In addition, routine blood work is not suggestive of the presence of this disease. Thus, prompt diagnosis of this condition poses a challenge to surgeons due to the confusing array of symptoms combined with the rarity of the disease. One such case of osteomyelitis of the maxilla in a young child is presented. The dilemma encountered by the surgeon during the diagnosis and treatment of the disease is discussed.
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spelling pubmed-90656442022-05-11 A diagnostic dilemma in pediatric osteomyelitis: a case report Mandrekar, Pooja Narendra Gavhane, Sanket Fernandes, Trishala Bhadauria Dhupar, Vikas Dhupar, Anita J Korean Assoc Oral Maxillofac Surg Case Report Infantile osteomyelitis is a rare disease that is infective in nature and may rapidly turn fatal, as the disease is often misdiagnosed due to its varied presenting signs. Early diagnosis may help in avoiding systemic involvement and permanent deformity. The disease presents with signs of orbital involvement, nasal congestion, and emesis, as well as other standard hallmarks of infection. Furthermore, the maxilla is a highly vascular and porous bone and the occurrence of osteomyelitis in an infant maxilla is highly uncommon. In addition, routine blood work is not suggestive of the presence of this disease. Thus, prompt diagnosis of this condition poses a challenge to surgeons due to the confusing array of symptoms combined with the rarity of the disease. One such case of osteomyelitis of the maxilla in a young child is presented. The dilemma encountered by the surgeon during the diagnosis and treatment of the disease is discussed. The Korean Association of Oral and Maxillofacial Surgeons 2022-04-30 2022-04-30 /pmc/articles/PMC9065644/ /pubmed/35491143 http://dx.doi.org/10.5125/jkaoms.2022.48.2.117 Text en Copyright © 2022 The Korean Association of Oral and Maxillofacial Surgeons. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Mandrekar, Pooja Narendra
Gavhane, Sanket
Fernandes, Trishala Bhadauria
Dhupar, Vikas
Dhupar, Anita
A diagnostic dilemma in pediatric osteomyelitis: a case report
title A diagnostic dilemma in pediatric osteomyelitis: a case report
title_full A diagnostic dilemma in pediatric osteomyelitis: a case report
title_fullStr A diagnostic dilemma in pediatric osteomyelitis: a case report
title_full_unstemmed A diagnostic dilemma in pediatric osteomyelitis: a case report
title_short A diagnostic dilemma in pediatric osteomyelitis: a case report
title_sort diagnostic dilemma in pediatric osteomyelitis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9065644/
https://www.ncbi.nlm.nih.gov/pubmed/35491143
http://dx.doi.org/10.5125/jkaoms.2022.48.2.117
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