Periodic persistent orofacial pain due to osteomyelitis of the mandible: A case report.
Chronic osteomyelitis of the jaws presents a diagnostic and therapeutic challenge. A 45-year-old woman presented with episodic pain in the right mandible of two and a half years' duration. During active periods, lasting for 2 to 3 weeks, the pain woke the patient from sleep at a regular time, and had features mimicking a variant of cluster headache. However, clinical, radiologic, and histologic findings confirmed the diagnosis of chronic sclerosing osteomyelitis. Conservative treatment, including 6 weeks of intravenous antibiotics, relieved the pain with no signs of recurrence at the 1-year follow-up. We emphasize the importance of including chronic osteomyelitis in the differential diagnosis of idiopathic orofacial pain disorders, particularly in the mandibular area.
Ragda
R
Abdalla-Aslan
Chen
C
Nadler
Rafael
R
Benoliel
Yair
Y
Sharav
Yaron
Y
Haviv
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005157:Facial Pain / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D008336:Mandibular Diseases / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D008875:Middle Aged; D010019:Osteomyelitis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy
D000900:Anti-Bacterial Agents