RESUMO
Osteomyelitis of the maxilla is now a rare event with the advent of antibiotics. The two predominant causes are odontogenic infections and sinusitis. Immunocompromised states such as diabetes, HIV, and malnutrition increase the risk of osteomyelitis. It is important to recognize this early as it is a difficult entity to treat with potentially serious consequences. We report an unusual case of right sided maxillary osteomyelitis in a lady with poorly controlled diabetes in rural Lincolnshire. Biopsy of the right maxillary bone showed features of acute osteomyelitis. This responded well to a prolonged course of oral antibiotics.
Assuntos
Abscesso/diagnóstico , Infecções por Fusobacterium/diagnóstico , Fusobacterium necrophorum , Veias Jugulares , Doenças Faríngeas/diagnóstico , Trombose/diagnóstico , Abscesso/microbiologia , Abscesso/terapia , Adolescente , Antibacterianos/uso terapêutico , Diagnóstico Diferencial , Drenagem , Diagnóstico Precoce , Tratamento de Emergência/métodos , Infecções por Fusobacterium/microbiologia , Infecções por Fusobacterium/terapia , Humanos , Masculino , Equipe de Assistência ao Paciente , Doenças Faríngeas/microbiologia , Doenças Faríngeas/terapia , Síndrome , Trombose/etiologia , Tomografia Computadorizada por Raios XRESUMO
Cochlear implantation has become a safe and effective method for the auditory rehabilitation of severe to profound sensorineural hearing loss. Flap problems are the commonest of the surgical complications [Axon PR, Mawman DJ, Upile T, Ramsden RT. Cochlear implantation in the presence of chronic suppurative otitis media. J Laryngol Otology 1997;111:228-32] and the risk increases further when associated with medical conditions predisposing to infection. We present two patients with psoriasis who underwent cochlear implant surgery, discussing the risk of surgical site infection and treatment options to minimise infection.
