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

被引:1
作者
Wu, Han-Wei [1 ]
Rahim, Nasiha [1 ]
Mbadiwe, Nina [2 ]
Khayat, Sarah [3 ]
da Fonseca, Marcio A. [4 ]
Peters, Erika [4 ]
Hsu, Lewis L. [5 ]
机构
[1] Univ Illinois, Coll Med, Dept Pediat, Chicago, IL 60612 USA
[2] Univ Illinois, Coll Med, Dept Emergency Med, Chicago, IL USA
[3] Univ Illinois, Coll Med, Dept Otolaryngol, Chicago, IL USA
[4] Univ Illinois, Coll Med, Dept Pediat Dent, Chicago, IL USA
[5] Univ Illinois, Coll Med, Dept Pediat, Div Pediat Hematol Oncol, Chicago, IL USA
关键词
sickle cell disease; vaso-occlusive crisis; facial swelling; AVASCULAR NECROSIS;
D O I
10.1097/MPH.0000000000002274
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
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.
引用
收藏
页码:E450 / E452
页数:3
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