Osteomielitis del maxilar secundaria a celulitis periorbitaria en un neonato: reporte de un caso
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La osteomielitis es la infección del tejido y médula ósea, causado principalmente por bacterias, microorganismos que pueden diseminarse por tres vías: hematógena, por contigüidad o directa. En la etapa neonatal es una entidad grave y poco frecuente, que puede causar secuelas osteoarticulares permanentes, presentándose en esta etapa de la vida con características etiopatogénicas e histológicas diferentes a las presentaciones en otros grupos etarios. Su presentación en el macizo facial es poco y puede ser secundaria a infecciones de tejidos blandos de la cara. Se presenta el caso de un neonato femenino de 20 días de vida que desencadenó osteomielitis del maxilar superior secundaria a celulitis facial y periorbitaria, con determinación de Staphylococus aureus en hemocultivos y secreción ocular, manejado con cobertura antibiótica de amplio espectro y manejo quirúrgico expectante, con evolución clínica favorable, en seguimiento actual por ambulatorio.
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