Vaso-occlusive Pain Crisis Mimicking Mandibular Abscess in an Adolescent with Sickle Cell Disease.

Autor: Wu HW; Departments of Pediatrics., Rahim N; Departments of Pediatrics., Mbadiwe N; Emergency Medicine., Khayat S; Otolaryngology., da Fonseca MA; Pediatric Dentistry., Peters E; Pediatric Dentistry., Hsu LL; Department of Pediatrics, Division of Pediatric Hematology/Oncology, University of Illinois at Chicago College of Medicine, Chicago, IL.
Jazyk: angličtina
Zdroj: Journal of pediatric hematology/oncology [J Pediatr Hematol Oncol] 2022 Mar 01; Vol. 44 (2), pp. e450-e452.
DOI: 10.1097/MPH.0000000000002274
Abstrakt: In people with sickle cell disease (SCD), oral abscesses are concerning clinical conditions and carry a high risk of postoperative sickle cell complications. We present an unusual case of a 14-year-old girl with SCD whose initial presentation of facial swelling, headaches, jaw pain, and paresthesia mimicked an odontogenic abscess. She was diagnosed with vaso-occlusive crisis in the mandibular bone and successfully managed noninvasively. This is among the youngest cases of paresthesia in the lower lip in SCD, which provided a clue that postponing invasive aspiration or biopsy was possible under empiric antibiotics and close observation.
Competing Interests: The authors declare no conflict of interest.
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Databáze: MEDLINE