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Exam questionKROK 1Medicine ยท 2014

A 40-year-old patient with the progressing staphylococcal purulent periodontitis developed purulent inflammation of bone marrow spaces of the alveolar process, and then of the body of mandible. Microscopy revealed thinning of bone trabeculae, foci of necrosis, bone sequesters surrounded by the connective tissue capsule. What is the most likely diagnosis?

Answer options

  1. Parodontome
  2. Acute osteomyelitis
  3. Chronic fibrous periostitis
  4. Purulent abscess
  5. Chronic osteomyelitis
Correct answer

Chronic osteomyelitis

Explanation

The diagnosis is Osteomyelitis, and it is chronic because bone sequesters have appeared and it has been a progressing disease.

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