NUMERO: #20250055

Título: PROLIFERATIVE PERIOSTITIS-OSTEOMYELITIS IN A PEDIATRIC PATIENT: DIAGNOSTIC CHALLENGES AND IMAGING CORRELATION

Nome do Apresentador: Adryann Christian de Sousa MADUREIRA

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Odontologia hospitalar

Resumo: Proliferative periostitis-osteomyelitis, also known as Garrè's osteomyelitis, is a form of inflammatory periosteal hyperplasia characterized by cortical plate reduplication, with an onion-skin appearance. This report describes a 10-year-old female patient who initially presented with right ankle pain and intermittent low-grade fever. A polymicrobial culture from a talus biopsy confirmed acute osteomyelitis, initially treated with a six-week antimicrobial regimen. Four months later, she returned with fever, chills, swelling in the mental region, local warmth, tenderness, and dysphagia. Clinical examination and panoramic radiography showed no dental or oral lesions. Cone-beam computed tomography revealed hypodense areas below the roots of teeth 46 to 36, with periosteal reaction, cortical thinning, rupture, and reduced medullary spaces. Findings suggested proliferative periostitis-osteomyelitis, confirmed by bone scintigraphy. The patient remained hospitalized under medical and dental supervision, receiving intravenous antimicrobials until infection control. Early diagnosis, imaging evaluation, and multidisciplinary management are essential for favorable long-term outcomes.

Autor 1:  Adryann Christian de Sousa MADUREIRA

E-mail 1:  [email protected]

Autor 2:   Denise Vieira TRAVASSOS

E-mail 2:  [email protected]

Autor 3 :  Gabriella Guerra Freire Gabrich FONSECA

E-mail 3:  [email protected]

Autor 4:  Natália Silva de MEIRA

E-mail 4:  [email protected]

Autor 5:  Yohana Cordeiro de Miranda MAGNO

E-mail 5:  [email protected]

Autor 6:  Tania Mara Pimenta AMARAL

E-mail 6:  [email protected]

Autor 7:  Roselaine Moreira Coelho MILAGRES

E-mail 7:  [email protected]