Year : 2020

Volume : Volume 11

Issue : Issue 3

Address for correspondence :
Dr. Bijal Bhavsar.
bhavsar_bijal@rediffmail.com

Abstract

Background:  Maxillary osteomyelitis is rare compared to mandibular osteomyelitis owing to its extensive blood supply and unique structure. We present case report of maxillary osteomyelitis, where clinical, radiographical, histopathological features were perplexing, hence leading to dilemma in diagnosis. A 62-year-old male patient came with chief complain of painful swelling near his left maxillary molars along with pus discharge. His main concern was cessation of pus discharge and removal of the pathology without long-term morbidity. On examination, multiple draining sinuses were present with segmental mobility of left maxillary arch with unusual paper-thin bone texture. Incisional biopsy suggested tuberculous osteomyelitis. After initial biopsy Anti Koch therapy was initiated. Later surgical excision and debridement was performed which led to final diagnosis of fungal osteomyelitis. To establish definitive treatment plan, it is necessary to assess credibility of current methods of investigations.

Keywords: Maxilla; osteomyelitis; tuberculosis; case report.