Tubercular osteomyelitis of the mandible is a relatively uncommon clinical entity. Hereby we are reporting such type of case in an eight year old female, presented with multiple pus discharging sinuses over right mandible for two months and responded well to antitubercular treatment. Introduction Tuberculosis of the mandible is considered a rare disease1,2. Tubercular osteomylitis of the mandible found to be more among children than adults. Tuberculosis in the oral and maxillofacial region is five times more prevalent in males than females. However isolated tuberculosis of mandible in the absence of active pulmonary tuberculosis is an uncommon clinical entity. Case Report An 8 year old female, patient was referred from the department of orthodontics to our department with complaints of pain and pus discharging sinuses over body of the right mandible for two months. He took antibiotics and other supportive treatment for two month without any clinical improvement. There was no past history of trauma, antitubercular treatment and family history of tuberculosis and no history of any dental or oral cavity problem. The patient was of an average built and moderately nourished. Local examination reveals a swelling over the angle of the right mandible and there were two pus discharging sinus, one at angle of the mandible and another at body of the right mandible bone. Margins of the sinus were hyperemic with undermined edges. Examination of the oral cavity was normal. There was no significant peripheral lymphadenopathy. The examination of the chest was normal . PPD was positive with indurations of 18 × 20 mm. OPG was done that revealed a multiple radiolucent area in the angle of the right mandibular bone region suggestive of tubercular involvement and bony architecture in the remaining part of the mandible was normal (Figure : 1 ).
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