Pediatric Primary Tuberculous Osteomyelitis of the Mandible Mimicking Parotitis

Tuberculosis (TB) is a worldwide public health problem; however, primary tuberculous osteomyelitis involving the mandible is extremely rare. Here, we report a 14-year-old boy who presented with a recurrent, generalized swelling of the cheek in the right side, mimicking parotitis. Fine needle aspirat...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 10; no. 1; p. e2071
Main Authors Kalaiarasi, Raja, Vijayakumar, Chellappa, Archana, Ramalingam, Natarajan, Ramalingam
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 15.01.2018
Cureus
Subjects
Abscesses
Antibiotics
Case reports
Etiology
General Surgery
Health care
Health education
Lymphatic system
Otolaryngology
Pediatrics
Preventive Medicine
Tuberculosis
Ultrasonic imaging
India
osteomyelitis
mandible
parotitis
tuberculosis
lymphadenitis
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Summary:Tuberculosis (TB) is a worldwide public health problem; however, primary tuberculous osteomyelitis involving the mandible is extremely rare. Here, we report a 14-year-old boy who presented with a recurrent, generalized swelling of the cheek in the right side, mimicking parotitis. Fine needle aspiration cytology (FNAC) from the swelling was inconclusive. Contrast-enhanced computed tomography (CECT) of the head and neck revealed an osteolytic lesion of the mandible with a surrounding abscess. An intraoral incisional biopsy of the tissue showed a granulomatous lesion. The patient was started on anti-tubercular therapy (ATT) for six months. Our patient's presentation underscores the clinical difficulty in establishing a diagnosis and considering tuberculous osteomyelitis in the differential diagnosis.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.2071