title: [Acute progressive primary chronic osteomyelitis in the mandibular bone in childhood - A case report].
abstract: Inflammation of bone is caused either by bacterial infection or occasionally by physical stimulus. Primary chronic osteomyelitis of mandibular bone is a chronic inflammation of an unknown cause. Pain, swelling, limited mouth opening, regional lymphadenopathy and hypaesthesia are clinical symptoms at initial presentation. Results of biopsy, computed tomography and scintigraphy reveal the diagnosis of a primary chronic osteomyelitis. Its management is long-term antibiotic therapy, hyperbaric oxygen and surgical therapy, even bisphophonate treatement may be a good option. The case report presents a primary progressive chronic osteomyelitis of the manibular bone of a ten year old boy. Clinical and radiological signs are discussed as well as diagnosis, management and follow-up.
authors.affiliation: Klinik für Mund-, Kiefer- und Gesichtschirurgie/ Orale Chirurgie, Luzerner Kantonsspital, Luzern, Switzerland.
authors.forename: Beat
authors.initials: B
authors.lastname: Scherrer
authors.forename: Andrea
authors.initials: A
authors.lastname: Della Chiesa
authors.forename: Elzbieta
authors.initials: E
authors.lastname: Polska
authors.forename: Johannes J
authors.initials: JJ
authors.lastname: Kutten Berger
mesh_terms: D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D001424:Bacterial Infections / Q000000981:diagnostic imaging* / Q000628:therapy*; D002648:Child; D002908:Chronic Disease; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D006801:Humans; D006931:Hyperbaric Oxygenation; D008297:Male; D008336:Mandibular Diseases / Q000000981:diagnostic imaging* / Q000628:therapy*; D010019:Osteomyelitis / Q000000981:diagnostic imaging* / Q000628:therapy*; D000072098:Single Photon Emission Computed Tomography Computed Tomography
chemical_list: D019980:Amoxicillin-Potassium Clavulanate Combination
keywords: Osteomyelitis; Ostitis; Szintigrafie; SPECT/CT; hyperbare Oxygenierung