Acute Suppurative Osteomyelitis Of Maxilla Impersonating Mucormycosis: A Rare Case Report

Main Article Content

Dr. Sheeraz Badal
Dr. Amol Doiphode
Dr. Apurva Deshpande
Dr. Priyanka Bhapkar
Dr. Laxmi Yogi
Dr. Ajay Wadhwani

Abstract

Osteomyelitis remains uncommon in contemporary medicine, largely due to the advent of antibiotics and increased emphasis on dental hygiene. Typically, of infectious origin, osteomyelitis is an inflammatory bone disease. The mandible is more susceptible than the maxilla due to its robust blood supply and structure. This case study involves a 47-year-old male who presented to the oral and maxillofacial surgery department with purulent discharge following extraction of the upper left molars. A CBCT scan revealed a radiolucent lesion in the left maxilla, initially suspected to be mucormycosis due to the patient's elevated HbA1C levels and history of COVID-19 infection. However, biopsy confirmed osteomyelitis of the left maxilla. The patient underwent surgical excision and achieved favorable outcomes with appropriate antibiotic therapy and effective glycemic control.

Article Details

How to Cite
Dr. Sheeraz Badal, Dr. Amol Doiphode, Dr. Apurva Deshpande, Dr. Priyanka Bhapkar, Dr. Laxmi Yogi, & Dr. Ajay Wadhwani. (2023). Acute Suppurative Osteomyelitis Of Maxilla Impersonating Mucormycosis: A Rare Case Report. Journal for ReAttach Therapy and Developmental Diversities, 6(1), 1892–1896. https://doi.org/10.53555/jrtdd.v6i1.3062
Section
Articles
Author Biographies

Dr. Sheeraz Badal

Professor and HOD Department of Oral & Maxillofacial Surgery, Maharashtra Institute of Dental Science & Research Center, Vishwanathpuram, Latur, Maharashtra, India.   

Dr. Amol Doiphode

Professor Department of Oral & Maxillofacial Surgery, Maharashtra Institute of Dental Science & Research Center, Vishwanathpuram, Latur. Maharashtra, India. 

Dr. Apurva Deshpande

Lecturer, Department of Oral & Maxillofacial Surgery Maharashtra Institute of Dental Science & Research Center, Vishwanathpuram, Latur. Maharashtra, India

Dr. Priyanka Bhapkar

Post Graduate Student (3rd yr) Department of Oral & Maxillofacial Surgery, Maharashtra Institute of Dental Science & Research Center, Vishwanathpuram, Latur. Maharashtra, India.                   

Dr. Laxmi Yogi

Post Graduate Student (2nd yr) Department of Oral & Maxillofacial Surgery, Maharashtra Institute of Dental Science & Research Center, Vishwanathpuram, Latur. Maharashtra, India.  

Dr. Ajay Wadhwani

Post Graduate Student (1st yr) Department of Oral & Maxillofacial Surgery, Maharashtra Institute of Dental Science & Research Center, Vishwanathpuram, Latur. Maharashtra, India.  

References

Sadaksharam J, Murugesan M. Osteomyelitis of maxilla: A rare finding from a radiologist point of view. Contemporary clinical dentistry. 2019 Apr 1;10(2):394-6.

Poonia M, Sidhu SK, Solkhe M, Sihmar SS. Chronic osteomyelitis of maxilla: A rare case report. J Oral Med Oral Surg Oral Pathol Oral Radiol. 2016;2:88-90.

Lata J, Pansotra N. Osteomyelitis of maxilla: a rare presentation yet not so rare. Journal of Maxillofacial and Oral Surgery. 2022 Sep;21(3):1023-31.

Gupta V, Singh I, Goyal S, Kumar M, Singh A, Dwivedi G. Osteomyelitis of maxilla-a rare presentation: case report and review of literature. Int J Otorhinolaryngol Head Neck Surg. 2017 Jul;3(03):771-6.

Singh M, Singh S, Jain J, Singh KT. Chronic suppurative osteomyelitis of maxilla mimicking actinimycotic osteomyelitis: a rare case report. National journal of maxillofacial surgery. 2010 Jul 1;1(2):153-6.

Pattnaik B, Padmavathi BN, Kumari M, Sharma SS. Osteomyelitis of maxilla: A rarity. Ann Int Med Dent Res. 2017;3(3):1-4.

Gudmundsson T, Torkov P, Thygesen T. Diagnosis and treatment of osteomyelitis of the jaw–A systematic review (2002-2015) of the literature. Journal of Dentistry & Oral Disorders. 2017 Jun 30;3(4):1066.

Peravali RK, Jayade B, Joshi A, Shirganvi M, Bhasker Rao C, Gopalkrishnan K. Osteomyelitis of maxilla in poorly controlled diabetics in a rural Indian population. Journal of maxillofacial and oral surgery. 2012 Mar;11:57-66.

Miloro M, Ghali GE, Larsen PE , Waite PD. Peterson’s principles of oral and maxillofacial surgery. 3rd ed. USA : People’s Medical Publishing House;2011. P- 861 .

Auluck A. Maxillary necrosis by mucormycosis: A case report and literature review. Medicina Oral, Patología Oral y Cirugía Bucal (Internet). 2007 Sep;12(5):360-4.

Kruger GO. Textbook of oral and maxillofacial surgery. 5th ed. London : The C V Mosby Company;1979. P- 23.