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上颌骨结核性骨髓炎:一例极为罕见的病例报告。

Tuberculous osteomyelitis of the maxilla: A rarest of rare case report.

作者信息

Gupta Ramesh, Garg Meenu, Gupta Ajay Kumar, Anand C

机构信息

Department of Oral Medicine and Radiology, Sudha Rustagi Dental College and Hospital, Faridabad, Haryana, India.

Department of Prosthodontics, Sudha Rustagi Dental College and Hospital, Faridabad, Haryana, India.

出版信息

Natl J Maxillofac Surg. 2014 Jul-Dec;5(2):188-91. doi: 10.4103/0975-5950.154833.

Abstract

Tuberculosis is a chronic granulomatous systemic infectious disease caused by Mycobacterium tuberculosis. The oral lesions found in tuberculosis are relatively rare and may present as ulcers, erythematous patches, indurated lesions, nodules or as bony jaw lesions. Oral tubercular lesions sometimes present a confusing clinical presentation and can be overlooked. Hence, we document a case of tuberculous osteomyelitis of the maxilla in a 19-year-old female patient, who was initially treated for multiple periodontal dental abscesses, which later proved to be tubercular osteomyelitis of the maxilla. Although it is a rare occurrence, the differential diagnosis of tuberculous osteomyelitis must always be considered when it fails to respond to routine therapy.

摘要

结核病是由结核分枝杆菌引起的一种慢性肉芽肿性全身性传染病。结核病中发现的口腔病变相对少见,可能表现为溃疡、红斑、硬结性病变、结节或颌骨病变。口腔结核病变有时临床表现令人困惑,可能被忽视。因此,我们记录了一例19岁女性患者的上颌骨结核性骨髓炎病例,该患者最初因多发性牙周牙脓肿接受治疗,后来被证实为上颌骨结核性骨髓炎。尽管这种情况很少见,但当结核性骨髓炎对常规治疗无反应时,必须始终考虑其鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd4/4405963/d4c3c262ad03/NJMS-5-188-g001.jpg

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