Case from Dr Kiran Nabar
This patient had history of recurrent painful tender swelling occurring on left side of jaw since last 1 year. It used to burst open to discharge pus. It used to heal with antibiotic just to recur again within 1 to 2 months. The skin was adherent to the underlying mandible. Extraction of the corresponding infected molar cured the problem for ever.
5 comments:
These lesions are very typical. I had one recently that also required dental work to fix it. Nothing else does while the deep seated focus of infection persists.
sometimes it is mistaken for scrofuloderma
Thanks for reminding us of that Kiran. In your part of the world that would certainly be a diagnostic consideration but would that presentation be mainly seen in children?
Scrofuloderma though more common in children age is no bar here.But that d.d.is just by looking at the lesion . Once you get the typical h/o remission with antibiotic and ipsilateral dental infection then there is no question of d.d.
Also....another diagnostic consideration is actinomycosis (the so-called "lumpy jaw" version). I would concur: dental sinus virtually always requires dental intervention as it represents a "tracking" of infection originating in a peri-apical dental abscess.
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