A 12-year-old girl complains of acute pain in the left mandibular region, general weakness, fever up to 39°C, difficult swallowing. Objectively: the face is asymmetric, the tongue is plaqued, halitosis is present. Percussion reveals signs of acute periodontitis of the 34, 36 teeth, as well as mobility of these teeth. Gums are hyperemic, edematous, there is infiltration on both sides of the alveolar process. Regional lymph nodes are enlarged, tender on palpation. Vincent's symptom is present. Blood test results: leukocytosis with a left shift; urine contains traces of protein. What is the most likely diagnosis?

Question

Answer options

Acute odontogenic purulent lymphadenitis
Exacerbation of chronic periodontitis
Odontogenic submandibular abscess
Acute odontogenic osteomyelitis of the mandible
Acute odontogenic purulent abscess

Correct answer

Acute odontogenic osteomyelitis of the mandible

Explanation

infection in a lower molar, the initial sign of the infection would be in the submandibular nodes; if it were not successfully combated there, it would spread secondarily to the upper deep cervical nodes because submandibular nodes Drain the Mandibular canines, premolars, molars, except for wisdom teeth.

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