Andura-Correas Martín, Chacón-Ferrer Guillermo, Vázquez-Salgueiro Eduardo, Ortiz-Peces Luis, Moreiras-Sánchez Álvaro Damián, Noguera-Tomás Jorge, Cebrián-Carretero José Luis
Oral and Maxillofacial Surgery Department, Hospital Universitario La Paz, Madrid, Spain (Paseo De La Castellana, 261, Madrid).
J Clin Exp Dent. 2025 Jul 1;17(7):e867-e870. doi: 10.4317/jced.62933. eCollection 2025 Jul.
Sickle cell anemia, or sickle cell disease, is a hematologic condition commonly found in populations from the Middle East, India, the Caribbean, and the Mediterranean. One of its complications is the development of long bone osteomyelitis. However, mandibular bone involvement is rare, which makes early diagnosis of this disease difficult when it affects this anatomical region. In this article, we present the case of a 25-year-old male with a prior diagnosis of sickle cell anemia who developed mandibular osteomyelitis associated with a paramandibular abscess and ipsilateral temporomandibular joint involvement, which was diagnosed and treated medically and surgically. Through this case, we aim to provide clinical insight into mandibular infectious complications associated with sickle cell anemia, along with their diagnosis and therapeutic management. Multidisciplinary care, clinical evaluation, laboratory findings, and imaging studies are the main pillars for the management of this disease. Furthermore, we review the literature on the clinical presentation, diagnosis, and treatment of mandibular osteomyelitis in patients with sickle cell disease. Sickle cell anemia, mandibular osteomyelitis, Vascular Occlusion Crisis.
镰状细胞贫血,又称镰状细胞病,是一种常见于中东、印度、加勒比地区和地中海地区人群的血液疾病。其并发症之一是长骨骨髓炎。然而,下颌骨受累情况罕见,这使得当该疾病累及此解剖区域时早期诊断困难。在本文中,我们介绍了一名25岁男性病例,该患者先前被诊断为镰状细胞贫血,现发展为下颌骨骨髓炎,并伴有下颌下脓肿和同侧颞下颌关节受累,通过药物和手术进行了诊断和治疗。通过这个病例,我们旨在提供对与镰状细胞贫血相关的下颌骨感染并发症及其诊断和治疗管理的临床见解。多学科护理、临床评估、实验室检查结果和影像学研究是管理该疾病的主要支柱。此外,我们回顾了关于镰状细胞病患者下颌骨骨髓炎的临床表现、诊断和治疗的文献。镰状细胞贫血、下颌骨骨髓炎、血管闭塞危象。