Tubercular and chronic pyogenic osteomyelitis of cranio-facial bones: a retrospective analysis

Sethi, Ashwani; Sethi, Deepika; Agarwal, Ayushi; Nigam, Sonu; An, Gupta

doi:10.1017/s0022215107009541

Cited by 11 publications

(5 citation statements)

References 16 publications

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“…Mandible is the most common craniofacial bone affected by TB. [ 7 ] This condition is usually secondary to a primary tubercular lesion elsewhere, such as the lungs and the abdomen. However, primary involvement of these bones have also been reported.…”

Section: Discussionmentioning

confidence: 99%

Tubercular Osteomyelitis of the Orbit Presenting as Periorbital Cellulitis

Bhattacharya

Raina

Gupta

et al. 2022

JOVR

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Purpose: Osteomyelitis of the orbital bones presenting as an orbital cellulitis is a rare form of extrapulmonary tuberculosis (TB). We report a rare case of tubercular osteomyelitis of the orbital bones presenting as a periorbital cellulitis. Case Report: A seven-year-old female child presented to our tertiary eye care center with swelling involving the right eyelids and the right cheek for two months. She had been provisionally diagnosed elsewhere as pre-septal cellulitis and had been given oral antibiotics. We clinically diagnosed her as orbital cellulitis, but her non-responsiveness to intravenous antibiotics prompted us to get a contrast enhanced computed tomography (CECT) of the orbit and paranasal sinuses, which was suggestive of tubercular etiology. However, the patient had no foci for TB elsewhere. We used a relatively new, but rapid test, called Cartridge-based Nucleic Acid Amplification Test (CBNAAT) on the pus aspirate which was positive for TB. Thereafter, the patient was started on anti-tubercular treatment to which she responded wonderfully. Conclusion: A high index of suspicion should be kept for TB infection in cases of orbital cellulitis with unusual clinical behavior in an endemic region such as India.

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Section: Discussionmentioning

confidence: 99%

Tubercular Osteomyelitis of the Orbit Presenting as Periorbital Cellulitis

Bhattacharya

Raina

Gupta

et al. 2022

JOVR

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“…Enfeksiyon bazen tek bazen de birden fazla etken tarafından oluşturulurken, özellikle kronik enfeksiyonlardan tüberküloz gibi kronik piyojenik osteomiyelit etkenleri de izole edilebilir. Bu vakalarda klinik bulgularla tanıya gidilmesi yeterli olmamakta, kesin tanı için kemik dokusunun histopatolojik incelemesinin yapılması gerekmektedir (6). Kalvaryum kemiklerinin osteomyelitinde lokal hassasiyet, ısı artışı ve ağrı, lokalize şişlik hatta bazen frontal lezyonlarda göz kapaklarında ödem görülebilir.…”

Section: Discussionunclassified

A Rare Case Of Cranial Osteomyelitis Caused By Proteus Vulgaris

Uslu¹,

Sengul²,

Aktaş³

2009

TUTFD

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“…Cases of tubercular osteomyelitis have been diagnosed on the basis of pathological evaluation of fine needle aspirates and tissue biopsies from the infected bones (Sethi et al, 2008). In all cases, histopathological evaluation has showed epithelioid, caseating granulomas.…”

Section: Tubercular Osteomyelitismentioning

confidence: 99%

“…Surgical treatment is also considered when the lesion creates a mass effect, when there is an increase in intracranial pressure, or when the patient has a large collection of caseous material (Gupta et al, 1989). However, the treatment of tubercular osteomyelitis is primarily medical, in the form of antituberculous chemotherapy (Sethi et al, 2008).…”

Section: Tubercular Osteomyelitismentioning

confidence: 99%

Skull Osteomyelitis

Soo¹

2012

Osteomyelitis

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Bone lesions resembling tertiary syphilis caused by Treponema pallidum or another of the treponematoses have been observed in nearly every Andean culture from Peru and Chile, dating back nearly 8000 years (Gerstzen et al., 1998). The lesions are similar in each case, with periostitis, osteitis, and osteomyelitis attacking the skull and the long bone, particularly the tibia. This tibial involvement results in the classic "saber shin". Several of the skulls observed with such lesions had been "treated" during life by repeated trephination using a scraping technique. 2.1.2 Greek and early Byzantine period The intellectual evolution of neurological surgery originated in the golden age of Greece with the founding of the Alexandrian school in 300 BC. Because of both sporting injuries, in particular gladiator injuries, and wars, head injuries appear to have been plentiful, and provided opportunities to develop neurosurgical skills (Goodrich & Flamm, 2011). In this early era of medicine, the risk of infection, lack of antiseptic technique, and minimal anesthesia prevented generations of surgeons from performing any serious or aggressive surgical intervention for head injury (Goodrich & Flamm, 2011). Galen of Pergamon (AD 129-200) detailed a safer and more reliable use of the trephine, and in particular argued for continuous irrigation during trephination to avoid delivering excessive heat and injury to the underlying brain (Goodrich, 2005). Paul of Aegina (AD 625-690), trained in the Alexandrian school, was the last great Byzantine physician. His wound management was quite sophisticated for prevention of infection. He used wine (helpful in antisepsis, although this concept was then unknown) (Goodrich, 2005). 2.1.3 Medieval Europe Inventive medieval surgeon Theodoric Borgognoni of Cervia (1205-1298) is remembered as a pioneer in the use of the aseptic technique-not the "clean" aseptic technique of today, but rather a method based on avoidance of "laudable pus". He attempted to discover the ideal conditions for good wound healing, and concluded that they comprised control of bleeding, removal of contaminated or necrotic material, avoidance of dead space, and careful application of a wound dressing bathed in wine (Goodrich & Flamm, 2011). Control of bleeding, removal of contaminated or necrotic material, and avoidance of dead space are principles that can also apply in today's neurosurgical operations. He also argued for primary closure of all wounds when possible and avoiding "laudable pus" (Goodrich & Flamm, 2011). Lanfranchi of Milan (1250-1306) noted that the head should be shaved prior to surgery to prevent hair from getting into the wound and interfering with primary healing. Today, most neurosurgeons also shave hair before an operation. However, the time of shaving is currently controversial. When dealing with depressed skull fractures, Lanfranchi advocated putting wine into the depression to assist healing (Goodrich & Flamm, 2011). Guy de Chauliac (1300-1368) was clearly the most influential European surgeon of the ...

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Tubercular and chronic pyogenic osteomyelitis of cranio-facial bones: a retrospective analysis

Cited by 11 publications

References 16 publications

Tubercular Osteomyelitis of the Orbit Presenting as Periorbital Cellulitis

Tubercular Osteomyelitis of the Orbit Presenting as Periorbital Cellulitis

A Rare Case Of Cranial Osteomyelitis Caused By Proteus Vulgaris

Skull Osteomyelitis

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