[Craniofacial osteomyelitis in a patient with systemic involvement: a case report]
Xiomara Zilena Serpa-Romero1, Gustavo Julio Guzmán-Maciel2, Raúl Montes-García3
1Facultad de Odontología, Universidad del Magdalena. Santa Marta, Colombia. xiomaraserpa@gmail.com Universidad del Magdalena Facultad de Odontología Universidad del Magdalena Santa Marta Colombia xiomaraserpa@gmail.com.
Revista Cientifica Odontologica (Universidad Cientifica Del Sur)
|October 24, 2024
Summary
This case report details a severe COVID-19 complication: osteomyelitis affecting the frontal sinus and jaw. Treatment involved surgery, antibiotics, and hyperbaric oxygen therapy.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Oral and Maxillofacial Surgery
Background:
- Severe COVID-19 can lead to secondary bacterial infections.
- Diabetes and hypertension are risk factors for severe infections and complications.
Observation:
- A 61-year-old male with diabetes and hypertension presented with facial pain post-COVID-19.
- Imaging revealed frontal sinus osteomyelitis, brain abscesses, and maxillary necrosis.
- Intraoral examination showed orosinusal fistula and dental infections.
Findings:
- Microbiological correlation confirmed bacterial infection.
- Multifocal osteomyelitis and abscess formation were diagnosed.
- The patient had significant necrotic changes in the maxilla.
Implications:
- This case highlights the potential for severe, invasive fungal and bacterial infections following COVID-19.
- Aggressive surgical and medical management is crucial for limb and life-threatening complications.
- Early recognition and intervention are key to improving patient outcomes in complex post-COVID-19 scenarios.
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