Chronic maxillary sinusitis and diabetes related maxillary osteonecrosis: a case report

Abstract

Dental infections and maxillary sinusitis are the main causes of osteomyelitis. Osteomyelitis can occur in all age groups, and is more frequently found in the lower jaw than in the upper jaw. Systemic conditions that can alter the patient's resistance to infection including diabetes mellitus, anemia, and autoimmune disorders are predisposing factors for osteomyelitis. We report a case of uncommon broad maxillary osteonecrosis precipitated by uncontrolled type 2 diabetes mellitus and chronic maxillary sinusitis in a female patient in her seventies with no history of bisphosphonate or radiation treatment.

Extensive Sequestration Chronic Maxillary Osteomyelitis in an Uncontrolled Diabetic Patient: Comprehensive Case Management of a Rare Entity

“…Additionally, individuals with diabetes may have a weakened immune system, making them more susceptible to secondary infections, especially if the initial infection is not adequately treated. 6 22 36 In this patient, the bacteria were confirmed as Morganella morganii and Klebsiella pneumoniae . These two bacteria are not commonly found in maxillary osteomyelitis.…”

“…But this condition, it can be distinguished from anamnesis in patients with no history of bisphosphonate consumption and no history of radiation therapy in the jaw area. 5 6…”

“…But this condition, it can be distinguished from anamnesis in patients with no history of bisphosphonate consumption and no history of radiation therapy in the jaw area. 5,6 The case of maxillary osteomyelitis was rare, 3,[7][8][9] and some of the reports were accompanied by actinomycosis, [10][11][12] and mucormycosis, [13][14][15][16][17] but one study reported a higher prevalence than mandibular. 8 The incident rate in mandibular is around 66.7%, 18 but the maxilla is only 33.3%.…”

“…8,21 The maxillary osteomyelitis in diabetes mellitus patients also rarely reported. 4,22,23 Diabetes mellitus become a risk factor for the severity of osteomyelitis, 24 and secondary infection. 25 In India, the prevalence rate of maxillary osteomyelitis with diabetes mellitus is 45.1%.…”