Post-traumatic tuberculosis of Zygoma - An uncommon presentation

Nakul Uppal; Abdul Hafeez; Hafiz Md Nasimuddin Ansari; Frijo Xavier; Ashish Kumar Gupta

doi:10.1016/j.jormas.2021.12.011

Post-traumatic tuberculosis of Zygoma - An uncommon presentation

J Stomatol Oral Maxillofac Surg. 2022 Oct;123(5):e604-e608. doi: 10.1016/j.jormas.2021.12.011. Epub 2021 Dec 20.

Authors

Nakul Uppal¹, Abdul Hafeez², Hafiz Md Nasimuddin Ansari¹, Frijo Xavier¹, Ashish Kumar Gupta³

Affiliations

¹ Department of Dentistry, All India Institute of Medical Sciences, Raipur, India.
² Department of Dentistry, All India Institute of Medical Sciences, Raipur, India. Electronic address: mdshameel.hafeez@gmail.com.
³ Department of Pathology, All India Institute of Medical Sciences, Raipur, India.

PMID: 34933135
DOI: 10.1016/j.jormas.2021.12.011

Abstract

Tubercular osteomyelitis of mid-facial bones is extremely rare because of its immense vascular supply. Due to rare incidence, myriad presentation, and lack of specific symptoms, this condition presents a challenge in diagnosis and calls for acute clinical awareness. This article presents a case report of a 31-year-old martial artist with complaints of trauma to his right malar region since one month and a gradually increasing swelling below his right eye for 3 weeks without any discharge. A diagnosis of primary Tuberculosis of right zygomatic bone was made with the help of multiple diagnostic tools. The patient was treated with four drug anti-tubercular therapy and responded with complete recovery from disease.

Keywords: Osteomyelitis; Tuberculosis; Zygoma.

Publication types

Case Reports

MeSH terms

Adult
Cheek
Facial Bones
Humans
Osteomyelitis* / diagnosis
Osteomyelitis* / etiology
Tuberculosis, Osteoarticular* / complications
Tuberculosis, Osteoarticular* / diagnosis
Tuberculosis, Osteoarticular* / drug therapy
Zygoma