Localized granulomatous disease involving mandibular bone and sub-mandibular lymphnodes in a 11-year-old girl

In August 2011 a 11-year-old girl had the extraction of the first inferior right permanent molar as a result of an odontogenic infection non responsive to antibiotics nor to endodontic treatment. One month later she was referred to our clinic for delay in healing even in absence of any symptom. The...

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Bibliographic Details
Published in:Annali di stomatologia 2013, Vol.4 (Suppl 2), p.32-32
Main Authors: Nesti, M, Marino, R, Pentenero, M, Gandolfo, S
Format: Article
Language:English
Subjects:
Antibiotics
Case Report
Family medical history
Online Access:Get full text
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Summary:In August 2011 a 11-year-old girl had the extraction of the first inferior right permanent molar as a result of an odontogenic infection non responsive to antibiotics nor to endodontic treatment. One month later she was referred to our clinic for delay in healing even in absence of any symptom. The extra oral examination revealed right submandibular lymphadenopathy, right mandibular swelling, facial asymmetry; on intra oral examination a pink-strawberry granulating mucosa without any purulent exudate or emission of granular sulfur compounds was observed. The child was hospitalized and underwent a 21-days antibiotic infusion therapy: Tazocin and Clindamycin. No evidence of recurrence was reported in a 20-months follow-up. In presence of a granulomatous disease both infective and non-infective etiologies have to be ruled out; this a challenging case of granulomatous osteitis and lymphadenitis from unknown cause.
ISSN:1824-0852
1971-1441