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[Mandibular osteitis and tertiary syphilis].

J M Peron, P Bravard, D Dehesdin

Revue De Stomatologie Et De Chirurgie Maxillo-Faciale

|January 1, 1984

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This case study highlights tertiary syphilis as a rare cause of mandibular osteitis. Prompt diagnosis and specific treatment led to progressive improvement and planned mandibular reconstruction.

Area of Science:

Medical Case Report
Infectious Diseases
Oral Surgery

Background:

Osteitis of the mandible can present with complex etiologies.
Tertiary syphilis is a potential, though uncommon, cause of chronic bone infections.
Delayed diagnosis of syphilitic osteitis can lead to significant morbidity.

Observation:

A 65-year-old male presented with mandibular osteitis and pathological fracture.
Standard treatments were ineffective, and no specific pathogen was identified.
A history of primary syphilis 40 years prior was noted.

Findings:

Clinical and paraclinical data suggested tertiary syphilis as the cause of osteitis.
Specific treatment for syphilis resulted in progressive clinical improvement.

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Mandibular reconstruction was planned after five months of successful treatment.

Implications:

This case underscores the importance of considering tertiary syphilis in refractory osteitis, particularly with a relevant patient history.
Early recognition and appropriate treatment of syphilitic osteitis are crucial for better outcomes.
The case contributes to the limited literature on tertiary syphilis manifesting as mandibular osteitis.