Recurrent osteomyelitis in patient of osteopetrosis: A rare case report and management

Authors : Kanchan Milind Shah, Amol Ramkishan Lahoti*, Jayant Landge, Nilesh Ubale, Asma Fruitwala

DOI : 10.18231/j.jooo.2023.037

Volume : 9

Issue : 3

Year : 2023

Page No : 167-170

Introduction: Osteopetrosis is a rare heritable disease. It sometimes presents as incidental finding with no symptoms to even life threatening complications. It may present as multiple fractures, compressive neuropathies, hypocalcaemia, and life-threatening pancytopaenia.
Case Report: In this article, A 15 years old female reported for evaluation and treatment of pain and pus discharge in the left side of mandible since 1 year after the extraction multiple deciduous tooth. pus discharge in the left side of mandible with draining fistula. Intraoral examination revealed exposed necrotic bone in mentioned region. 
Discussion: osteopetrosis of mandible may develop osteomyelitis. The osteomyelitis is usually due to tooth extraction or pulpal necrosis. However, its treatment is controversial.
Conclusion: Treatment regimens include high-dose systemic antibiotics along with thorough debridement of necrotic bone and primary closure of soft tissues & may require Hyperbaric oxygen.
 

Keywords: Hyperbaric oxygen, Life threatening, Osteopetrosis, Osteomyelitis


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