Bilateral mandibular osteomyelitis mimicking periapical cysts in a patient with sickle cell anemia
Sickle cell anemia (SCA) is a hemoglobin disorder that occurs more commonly among Afro-descendants. The authors report the case of a 28-year-old Afro-descendent male patient with the diagnosis of homozygotic sickle cell disease (SCD) referred for evaluation of mandibular lesions. The patient’s main...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
University of São Paulo
2015-09-01
|
| Series: | Autopsy and Case Reports |
| Subjects: | |
| Online Access: | http://www.revistas.usp.br/autopsy/article/view/107011 |
| _version_ | 1818563002934231040 |
|---|---|
| author | Juliane Pirágine Araújo Ana Maria Hoyos Cadavid Celso Augusto Lemos Marilia Trierveiler Fabio Abreu Alves |
| author_facet | Juliane Pirágine Araújo Ana Maria Hoyos Cadavid Celso Augusto Lemos Marilia Trierveiler Fabio Abreu Alves |
| author_sort | Juliane Pirágine Araújo |
| collection | DOAJ |
| description | Sickle cell anemia (SCA) is a hemoglobin disorder that occurs more commonly among Afro-descendants. The authors report the case of a 28-year-old Afro-descendent male patient with the diagnosis of homozygotic sickle cell disease (SCD) referred for evaluation of mandibular lesions. The patient’s main complaints included pain and bilateral teeth mobility. An intraoral examination revealed gingiva recession affecting the lower molars with extensive root exposure. A panoramic x-ray showed two radiolucent symmetrical periapical lesions evolving both the first and the second lower molars, bilaterally. The diagnostic hypotheses comprised odontogenic infection, among others. Besides antimicrobial therapy, the two molars of both sides were extracted and bone was collected for histopathological and microbiological analyses. Osteomyelitis was diagnosed, and Streptococcus viridans was recovered from the culture media. Mandibular osteomyelitis should be considered as a diagnosis in patients with SCD. The present case offers an alert to clinicians about the importance of knowing jaw lesions related to SCA. |
| first_indexed | 2024-12-14T01:11:09Z |
| format | Article |
| id | doaj.art-5306c6c103d94d51bd22df968d6f6f07 |
| institution | Directory Open Access Journal |
| issn | 2236-1960 |
| language | English |
| last_indexed | 2024-12-14T01:11:09Z |
| publishDate | 2015-09-01 |
| publisher | University of São Paulo |
| record_format | Article |
| series | Autopsy and Case Reports |
| spelling | doaj.art-5306c6c103d94d51bd22df968d6f6f072022-12-21T23:22:45ZengUniversity of São PauloAutopsy and Case Reports2236-19602015-09-015310.4322/acr.%y.107011Bilateral mandibular osteomyelitis mimicking periapical cysts in a patient with sickle cell anemiaJuliane Pirágine Araújo0Ana Maria Hoyos Cadavid1Celso Augusto Lemos2Marilia Trierveiler3Fabio Abreu Alves4Stomatology Department - School of Dentistry - Universidade de São Paulo, São Paulo/SPStomatology Department - School of Dentistry - Universidade de São Paulo, São Paulo/SPStomatology Department - School of Dentistry - Universidade de São Paulo, São Paulo/SPOral Pathology Department - School of Dentistry - Universidade de São Paulo, São Paulo/SPStomatology Department - AC Camargo Cancer Center, São Paulo/SPSickle cell anemia (SCA) is a hemoglobin disorder that occurs more commonly among Afro-descendants. The authors report the case of a 28-year-old Afro-descendent male patient with the diagnosis of homozygotic sickle cell disease (SCD) referred for evaluation of mandibular lesions. The patient’s main complaints included pain and bilateral teeth mobility. An intraoral examination revealed gingiva recession affecting the lower molars with extensive root exposure. A panoramic x-ray showed two radiolucent symmetrical periapical lesions evolving both the first and the second lower molars, bilaterally. The diagnostic hypotheses comprised odontogenic infection, among others. Besides antimicrobial therapy, the two molars of both sides were extracted and bone was collected for histopathological and microbiological analyses. Osteomyelitis was diagnosed, and Streptococcus viridans was recovered from the culture media. Mandibular osteomyelitis should be considered as a diagnosis in patients with SCD. The present case offers an alert to clinicians about the importance of knowing jaw lesions related to SCA.http://www.revistas.usp.br/autopsy/article/view/107011OsteomyelitisAnemiaSickle CellMandible |
| spellingShingle | Juliane Pirágine Araújo Ana Maria Hoyos Cadavid Celso Augusto Lemos Marilia Trierveiler Fabio Abreu Alves Bilateral mandibular osteomyelitis mimicking periapical cysts in a patient with sickle cell anemia Autopsy and Case Reports Osteomyelitis Anemia Sickle Cell Mandible |
| title | Bilateral mandibular osteomyelitis mimicking periapical cysts in a patient with sickle cell anemia |
| title_full | Bilateral mandibular osteomyelitis mimicking periapical cysts in a patient with sickle cell anemia |
| title_fullStr | Bilateral mandibular osteomyelitis mimicking periapical cysts in a patient with sickle cell anemia |
| title_full_unstemmed | Bilateral mandibular osteomyelitis mimicking periapical cysts in a patient with sickle cell anemia |
| title_short | Bilateral mandibular osteomyelitis mimicking periapical cysts in a patient with sickle cell anemia |
| title_sort | bilateral mandibular osteomyelitis mimicking periapical cysts in a patient with sickle cell anemia |
| topic | Osteomyelitis Anemia Sickle Cell Mandible |
| url | http://www.revistas.usp.br/autopsy/article/view/107011 |
| work_keys_str_mv | AT julianepiraginearaujo bilateralmandibularosteomyelitismimickingperiapicalcystsinapatientwithsicklecellanemia AT anamariahoyoscadavid bilateralmandibularosteomyelitismimickingperiapicalcystsinapatientwithsicklecellanemia AT celsoaugustolemos bilateralmandibularosteomyelitismimickingperiapicalcystsinapatientwithsicklecellanemia AT mariliatrierveiler bilateralmandibularosteomyelitismimickingperiapicalcystsinapatientwithsicklecellanemia AT fabioabreualves bilateralmandibularosteomyelitismimickingperiapicalcystsinapatientwithsicklecellanemia |