BackgroundTuberculosis is considered an emerging disease worldwide; in the last 10 years, its incidence has increased to more than 9.6 million cases of active tuberculosis. In 2014, it resulted in 1.5 million patient deaths. However, oral presentation with bone involvement occurs in less than 3% of all reported cases and rarely arouses clinical suspicion on initial presentation.Case presentationA 15-year-old Mexican girl who had a previous diagnosis of neurofibromatosis presented to our hospital with pain and swelling in the region of the left mandibular body since November 2011. A clinical examination revealed pain in the mandibular region, a mass of soft consistency that seemed to involve bone, and a fistula with discharge of intraoral purulent material. Additionally, tachycardia and hyperthermia were observed. The left submental and submandibular regions had a 12-cm-diameter swelling, which was well-delineated and nonerythematous. The final diagnosis was established by real-time polymerase chain reaction.ConclusionsThe final diagnosis of rare cases of tuberculous osteomyelitis in the jaw can be established by deoxyribonucleic acid (DNA) identification of Mycobacterium tuberculosis in the lesion. Simple and fast complementary diagnosis by real-time polymerase chain reaction is a fundamental approach to establishing early and effective pharmacological and surgical treatment.
Este artículo debe citarse como INTRODUCCIÓNLas infecciones odontogénicas son una de las principales causas de urgencia en la práctica estomatológica. Afectan comúnmente a la población pediátrica. Las infecciones odontogénicas pueden tener distintos grados de gravedad e incluso algunas pueden ser muy complejas y necesitar atención en un hospital. Las infecciones odontogénicas son generalmente subestimadas en términos de su morbilidad o mortalidad.Las celulitis pueden ser definidas como infecciones del tejido celulo-adiposo situado en intersticios aponeuróticos y relacionado con estructuras musculares, vasculonerviosas y viscerales que se manifiestan clínicamente como tumefacciones difusas, dolorosas, induradas y eritematosas.El absceso es el estadio subsecuente, caracterizado por la acumulación de secreción purulenta constituida por una cavidad con tejido necrótico, bacterias y células implicadas en la respuesta inmunológica; se caracteriza por ser fluctuante, doloroso, de bordes definidos, con hiperemia e hipertermia. LAS INFECCIONES ODONTOGÉNICASEn la cabeza y el cuello. La cavidad oral contiene la más variada población de bacterias, situadas sobre la mucosa, en las superficies dentarias y en el interior de los surcos creviculares. Estos microorganismos pueden causar infecciones cuando acceden a los tejidos profundos rompiendo el equilibrio de la ecología bucal.
HIV infection is a major global health problem affecting developing and developed countries alike. HIV infection is associated with multiple oral lesions, some of which are of value in diagnosing the disease. The aim of this report is to describe the clinical manifestations and their multidisciplinary management, in a 6- year-old girl with AIDS. The findings of this case report indicate that, it is essential to be familiar with the early oral manifestations of AIDS in order to understand the patient's dental health needs, apply preventive methods, control caries, and understand the value of oral lesions as diagnostic markers of disease progression in children with HIV infection. A multidisciplinary management is fundamental.
Childhood chronic recurrent bacterial sialadenitis. Clinical characterization RESUMENLa sialoadenitis recurrente es el segundo cuadro inflamatorio más frecuente que afecta a la glándula parótida, precedida por la parotiditis viral. Esta afección tiene un cuadro clínico muy similar a la sialoadenitis, motivo por el cual se debe considerar dentro de los diagnósticos diferenciales. La sialoadenitis recurrente se caracteriza por episodios periódicos de inflamación y aumento de volumen de la glándula parótida acompañados de fiebre y malestar general que alternan con intervalos de remisión en los que la glándula es clínicamente asintomática. En el Instituto Nacional de Pediatría consideramos al concepto Sialoadenitis bacteriana crónica recurrente de la infancia como la definición más específica y completa para referirse a esta enfermedad. Debido a su recurrencia decidimos escribir este artículo para señalar sus características clínicas. ABSTRACTRecurrent sialadenitis is the second most common inflammatory condition that affects the parotid gland, preceded by viral parotitis; pathology is it clinically very similar to sialadenitis, for which reason in should be considered in the differential diagnosis. Recurrent sialadenitis is characterized by periodic inflammatory episodes increased volume of the in the parotid gland, fever and malaise, alternating with intervals of remission, in which the gland is clinically asymptomatic. In our experience at the National Institute of Pediatrics, we consider the term chronic recurrent bacterial sialadenitis of childhood, as the specific and complete definition of this disease. In view of its recurrence, we decided to write this article indicating clinical characteristics of this pathology.
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