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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2021; 31(04): 1016-1018
DOI: 10.1055/s-0041-1741043
Case Report

Garré's Sclerosing Osteomyelitis with Perimandibular Soft Tissue Inflammation and Fistula

S. Shanmuga Jayanthan
1   Department of Radiology and Imaging Sciences, Meenakshi Hospital, Tanjore, Tamil Nadu, India
,
Rajagopal Ganesh
2   Department of Radiology and Imaging Sciences, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India
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Abstract

Garré's sclerosing osteomyelitis is a form of chronic osteomyelitis that commonly affects children and young adults. Here, we report one such case of Garré's sclerosing osteomyelitis in a 20-year-old female who presented with facial asymmetry and inability to open mouth. On clinical examination, it was bony hard swelling with trismus. History of infected second molar tooth extraction was present. Computed tomography scan showed thickening and sclerosis of the ramus and condylar process of mandible, on right side, with proliferative periostitis. Magnetic resonance imaging showed soft tissue edema and inflammation, in the form of enlargement of right masseter and pterygoid muscles with intramuscular fluid collection. On the basis of history, clinical signs, and imaging features, diagnosis of Garré's osteomyelitis with fascial space infection was made. To our knowledge, very few cases of Garré's osteomyelitis present with superimposed fascial space infection, as it is otherwise a nonsuppurative condition. Fistula formation is a very rare incidence as it is seen in our case.

Keywords

CT proliferative periostitis - MRI Garré's osteomyelitis - suppurative osteomyelitis

Declaration of Patient Consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.


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Nil.




Publication History

Article published online:
10 January 2022

© 2022. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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