NUMERO: #20230245

Título: OSTEOMYELITIS ASSOCIATED WITH PATHOLOGICAL FRACTURE IN A PATIENT WITH PYCNODYSOSTOSIS: CASE REPORT

Nome do Apresentador: Carla Samily de Oliveira COSTA

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Estomatologia

Resumo: Pycnodysostosis is a rare autosomal recessive syndrome, characterized by abnormalities in the bone remodeling process and increased susceptibility to pathological fractures and osteomyelitis. This study aims to report a case of a 49-year-old male patient with pycnodysostosis that complained of an extraoral swelling in the left mandible. Clinical examination revealed a swelling in the left submandibular region, intraoral fistula with purulent drainage, and a history of tooth extraction three months ago. Panoramic radiography showed a pathological fracture in the left mandibular body. The treatment was resection of the infected area, surgical debridement, installation of a mandibular reconstruction plate, and fistulectomy. The diagnostic hypothesis was osteomyelitis, confirmed by excisional biopsy. After 3 weeks, intra-oral wound dehiscence, intra-oral purulent drainage, and extra-oral fistula were observed. Antibiotic therapy was performed and the patient was submitted to curettage, debridement, and fistulectomy. Currently, the follow-up showed complete healing and no recurrence of the infection.

Autor 1:  Carla Samily de Oliveira COSTA

E-mail 1:  [email protected]

Autor 2:   Hannah Gil de Farias MORAIS

E-mail 2:  [email protected]

Autor 3 :  Wagner Ranier Maciel DANTAS

E-mail 3:  [email protected]

Autor 4:  Braz da FONSECA NETO

E-mail 4:  [email protected]

Autor 5:  Patricia Teixeira de OLIVEIRA

E-mail 5:  [email protected]

Autor 6:  Leão Pereira PINTO

E-mail 6:  [email protected]

Autor 7:  Amanda Katarinny Goes GONZAGA

E-mail 7:  [email protected]