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J Oral Maxillofac Surg ; 75(3): 543-549, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27717819

RESUMO

Parotitis is a common occurrence in the immunocompromised, dehydrated, and malnourished patient as a result of dysfunctional ductal and parotid cells. Inflammation can be acute or chronic based on clinical history, and it can be suppurative based on the presence of micro or macro abscess formation within the substance of the gland. This report presents a case of concomitant condylar osteomyelitis and chronic suppurative parotitis in the setting of previous methicillin-susceptible Staphylococcus aureus foot infection. Ultimately, resection of osteomyelitis, drainage of parotid infection, and intravenous antibiotic therapy led to full resolution of the infection and symptoms. The final pathology of osteomyelitis of the temporomandibular joint and methicillin-resistant S aureus infection is an unusual consequence of chronic parotitis. The patient was restored with a total joint replacement approximately 3 months after resection with no recurrence of infection after 24 months.


Assuntos
Doenças Mandibulares/diagnóstico , Doenças Mandibulares/terapia , Parotidite/diagnóstico , Parotidite/terapia , Idoso , Antibacterianos/uso terapêutico , Terapia Combinada , Diagnóstico Diferencial , Humanos , Masculino , Côndilo Mandibular , Doenças Mandibulares/microbiologia , Procedimentos Cirúrgicos Ortognáticos , Osteomielite/diagnóstico , Osteomielite/microbiologia , Parotidite/microbiologia , Radiografia Panorâmica , Tomografia Computadorizada por Raios X
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