A 52-Year-Old Man With a Hole in His Jaw and Alcoholism

Laith Mahmoud Abdulhadi, BDS, CES, DDS

May 17, 2021

Physical Examination and Workup

The patient is well-built and febrile. Cervical lymph nodes are palpable. Intraorally, a large opening is undermined by mucosal elevation, located at the left retromolar area near the ramus of the mandible.

Radiographic examination of the mandible reveals the presence of an extensive radiolucent area located at the posterior part of the mandible extending to the entire left ramus, except for the condyle and coronoid holding bone segment (Figures 1, 2). The border of the lesion in the remaining bone was distinct but irregular.

(Enlarge Image)

Figure 1.

(Enlarge Image)

Figure 2.

Acid-fast bacillus smear (AFB) findings taken from the lesion are negative. Laboratory findings reveal an elevated erythrocyte sedimentation rate (ESR) and a positive purified protein derivative (PPD) test result. Microbial culture findings of the discharge are positive for AFB after 5 weeks of incubation.

References

1 2 3 4 5 6

Next Section

Any views expressed above are the author's own and do not necessarily reflect the views of WebMD or Medscape.

Cite this: Laith Mahmoud Abdulhadi. A 52-Year-Old Man With a Hole in His Jaw and Alcoholism - Medscape - May 17, 2021.

Comments

Commenting is limited to medical professionals. To comment please Log-in.

Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.