Maxillary Osteomyelitis Post-Dengue: A Rare Clinical Phenomenon.

Abstract

Maxillary osteomyelitis following dengue infection, unaccompanied by additional comorbidities, is a rare but significant clinical entity. We present the first documented case of such a condition in a 22-year-old male who, following recovery from dengue, presented with loose teeth, difficulty chewing, and pus discharge from the upper front jaw area. A comprehensive diagnostic approach, including detailed medical and dental history, clinical examination, radiographic assessment, and incisional biopsy, confirmed the diagnosis of maxillary osteomyelitis. Surgical intervention comprising sequestrectomy and debridement was done under general anaesthesia with histopathological reconfirmation of osteomyelitis. Subsequent provision of a prosthesis facilitated functional and aesthetic restoration for the patient. A 2-year follow-up revealed no recurrence of disease, underscoring the efficacy of the management approach. This case highlights the importance of recognizing uncommon presentations of osteomyelitis post-dengue, enabling timely intervention and favourable outcomes. Such cases serve as valuable learning experiences, emphasizing the necessity of vigilance in diagnosing and managing rare clinical conditions to optimize patient care.