KROK 1 2014 – Question 36 · KROK (Medicine) · Pathomorphology

A 40-year-old patient with the progressing staphylococcal purulent periodontitis developed purulent inflammation of bone marrow spaces of the alveolar process, and then of the body of mandible. Microscopy revealed thinning of bone trabeculae, foci of necrosis, bone sequesters surrounded by the connective tissue capsule. What is the most likely diagnosis?

  1. A. Chronic osteomyelitis
  2. B. Parodontome
  3. C. Chronic fibrous periostitis
  4. D. Purulent abscess
  5. E. Acute osteomyelitis
Hint

Think about what the presence of dead bone walled off by connective tissue tells you about the stage and duration of this bone infection.

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