Department of Oral and Maxillofacial Surgery, Government Dental College, Pt. BD Sharma University of Health Sciences, Haryana, India.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Sep;116(3):e156-60. doi: 10.1016/j.oooo.2011.12.017. Epub 2012 Jul 21.
Tubercular osteomyelitis of midfacial bones is extremely rare, although tuberculosis of long bones and the vertebral column is not uncommon. Because of the rare incidence, myriad presentation, and lack of specific symptoms, this condition presents a challenge in diagnosis and calls for acute clinical awareness. This article presents a case report of a 12-year-old girl with complaints of gradually increasing swelling lateral to and below her right eye for 4 months with pus discharge. She was treated with surgical curettage and 4-drug antitubercular therapy and responded with complete remission of the sinus.
面中部骨结核性骨髓炎极为罕见，尽管长骨和脊柱结核并不少见。由于发病率极低、表现多样且缺乏特异性症状，这种疾病在诊断方面极具挑战性，需要临床医生高度警惕。本文报告了 1 例 12 岁女孩的病例，她因右眼外侧和下方逐渐肿胀伴脓液排出而就诊，病程 4 个月。患者接受了手术刮除和 4 药抗结核治疗，窦道完全消退。
