关键词: Caries Maxillary osteomyelitis Orbital Inflammation Osteopetrosis Periostitis

来  源:   DOI:10.1159/000536140   PDF(Pubmed)

Abstract:
UNASSIGNED: Osteopetrosis is a rare heritable disorder characterized by increased bone density resulting from osteoclast dysfunction. Major complications include bone fracture, osteomyelitis, anemia, and cranial nerve compression. Optic atrophy can occur due to compression of the optic nerve. Although osteomyelitis of the jaw is a common complication, it rarely occurs in the maxilla. Here, we report a case of a 74-year-old female with osteopetrosis who developed maxillary osteomyelitis, leading to orbital inflammation.
UNASSIGNED: She was referred to our clinic for 2 months of ptosis and swelling of the left eyelid and temporal region. Previous imaging revealed a left intraorbital occupying lesion, but a biopsy of the temporal subcutaneous tissue did not provide a definitive diagnosis. After 7 months, she presented with severe temporal swelling and purulent discharge. Upon examination, maxillary osteomyelitis resulting from caries of the upper jaw was observed. Treatment with oral antibiotics, drainage of the temporal skin fistula, and regular cleaning of the maxillary drainage improved her symptoms.
UNASSIGNED: This is a rare case of maxillary osteomyelitis associated with osteopetrosis, causing orbital inflammation.
摘要:
石骨症是一种罕见的遗传性疾病,其特征是由破骨细胞功能障碍导致的骨密度增加。主要并发症包括骨折,骨髓炎,贫血,和颅神经压迫。视神经的压迫可发生视神经萎缩。虽然颌骨骨髓炎是一种常见的并发症,它很少发生在上颌骨。这里,我们报告了一例74岁的女性石骨症,其发展为上颌骨髓炎,导致眼眶发炎.
她被转诊到我们的诊所治疗2个月的眼睑和颞部肿胀。先前的成像显示左眶内占位性病变,但颞部皮下组织活检并不能提供明确的诊断.7个月后,她出现严重的颞部肿胀和脓性分泌物。经检查,观察到上颌龋齿引起的上颌骨髓炎。口服抗生素治疗,颞侧皮肤瘘引流,定期清洁上颌骨引流改善了她的症状。
这是一例罕见的上颌骨髓炎与骨硬化有关,引起眼眶炎症.
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