上颌骨髓炎是一种罕见的骨感染,并且随着先进的抗生素疗法的出现而很少见。它通常与免疫受损的疾病有关,即糖尿病,癌症,和慢性酒精中毒,因为它们增加了患骨髓炎的机会。我们介绍了一名32岁男性糖尿病患者的上颌骨髓炎和眶下脓肿的罕见病例。病人抱怨牙齿疼痛,面部肿胀,和视觉障碍。患者在刮宫的同时接受了手术切除,切口,眼眶脓肿引流。患者对手术反应良好,术后无并发症。由于射线照相迹象可能会很晚出现,作者旨在强调全面的临床检查和良好的患者病史的重要性。迅速的根治性治疗是必要的,以避免任何严重后果。
Maxillary osteomyelitis is a rare bone infection and is rarer to come across with the advent of advanced antibiotic therapies. It is often linked to immunocompromised conditions, namely diabetes mellitus, cancer, and chronic alcoholism, as they increase the chances of developing osteomyelitis. We present a rare case of maxillary osteomyelitis along with an infraorbital abscess in a 32-year-old male patient with uncontrolled diabetes. The patient complained of dental pain, facial swelling, and visual disturbances. The patient was managed with sequestrectomy along with curettage, incision, and drainage of orbital abscess. The patient responded well to surgery and had no complications post-surgery. As radiographic signs may present late, the authors aim to highlight the significance of thorough clinical examination and good patient history. Prompt radical treatment is necessary to avoid any severe consequences.