CASE REPORT   

European Journal of Oral and Maxillofacial Surgery 2017 August;1(2):64-7

DOI: 10.23736/S2532-3466.17.00109-6

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Chronic osteomyelitis with proliferative periostitis: case report in the State of Amazonas

Marina ROLO PINHEIRO da ROSA ¹ ✉, Flávio TENDOLO FAYAD ¹, Gustavo CAVALCANTI de ALBUQUERQUE ¹, Luiz R. COUTINHO MANHÃES Jr ², Joel MOTTA Jr ¹, Marcelo V. OLIVEIRA ¹, Válber BARBOSA MARTINS ¹

¹ Maxillofacial and Traumatology Surgery, Amazonas State University (UEA), Manaus, Brazil; ² São Leopoldo Mandic Faculty of Medicine and Dentistry, Campinas, Brazil

The objective is to report a case of chronic osteomyelitis with proliferative periostitis and post-removal monitoring of the offending agent. A male leukoderma patient aged 16, exhibiting increased size in the left jaw region associated with housing of extraction element 37, limitation to mouth opening and facial asymmetry with one year of advance. Laboratory tests were performed, such as panoramic radiography and computed tomography, with intense periosteal reaction in the angle of the left mandible. The patient underwent incisional biopsy and histopathological findings revealed the deposition of trabecular bone that have various forms with deposition of collagenous fibers, exhibiting chronic moderate inflammatory infiltration. At 30 days’ follow-up, the patient presented good conditions and had no pain complaints. The prognosis is favorable when the cause is completely removed and adjunct antibiotic therapy is performed.

KEY WORDS: Bone - Infection - Osteomyelitis