Tuberculous osteomyelitis of the mandible: a case report

Abstract

Osteomyelitis of jaws caused by infection with Mycobacterium tuberculosis is uncommon, especially in children. We present a case of tuberculous osteomyelitis in a young child. Its clinical presentation, with features similar to a dento-alveolar abscess, underline the importance of considering it in the differential diagnosis of jaw lesions. We discuss of the diagnostic techniques, management and preventive measures, and stress the importance of history taking during clinical examination.

Primary Tuberculous Osteomyelitis of the Mandible Mimicking a Parotid Gland Abscess

“…Destruction and erosion of the cortex occurs which is replaced by soft granulation tissue. Caseation occurs resulting in softening, liquefaction and formation of a subperiosteal abscess which can either burst intraorally or extraorally [3]. Blurring of the bony details is the first sign and later a radiolucent area can also be seen on CT due to decalcification.…”

Oral tuberculosis: unusual radiographic findings

“…HIV infection is considered the most important risk factor in acquiring active tuberculosis. 13,18 All over the world approximately 8% of people with HIV are co-infected with tuberculosis. 3 However, orofacial tuberculosis (primary or secondary)…”

“…12 Only approximately 0.05%-5% of total tuberculosis cases manifests orally. 13 There are no data available on how many of these cases have radiographic manifestations.…”

Tuberculous Osteomyelitis of Mandible: A Rare Case Report

“…Flat bones, including those of skull and mandible are rarely affected. Incidence of tuberculous osteomyelitis of jaw bone is 2,3,4,5,6 very low . Due to rarity of tuberculous osteomyelitis of mandible, it seldom arouses clinical suspicion especially when a positive history of a systemic infection or therapy is denied.…”