Abstract
Garré's sclerosing osteomyelitis is a form of chronic osteomyelitis that commonly
affects children and young adults. Here, we report one such case of Garré's sclerosing
osteomyelitis in a 20-year-old female who presented with facial asymmetry and inability
to open mouth. On clinical examination, it was bony hard swelling with trismus. History
of infected second molar tooth extraction was present. Computed tomography scan showed
thickening and sclerosis of the ramus and condylar process of mandible, on right side,
with proliferative periostitis. Magnetic resonance imaging showed soft tissue edema
and inflammation, in the form of enlargement of right masseter and pterygoid muscles
with intramuscular fluid collection. On the basis of history, clinical signs, and
imaging features, diagnosis of Garré's osteomyelitis with fascial space infection
was made. To our knowledge, very few cases of Garré's osteomyelitis present with superimposed
fascial space infection, as it is otherwise a nonsuppurative condition. Fistula formation
is a very rare incidence as it is seen in our case.
Keywords
CT proliferative periostitis - MRI Garré's osteomyelitis - suppurative osteomyelitis
