A 54-year-old woman was presented with a chronically discharging lesion that was present on the right cheek for many years. She also mentioned that she had a loose and painful lower right molar. Her medical history was uneventful. Examination The 1-cm pink area on the right cheek with the seropurulent discharge was observed (Panel A). Intra-oral examination revealed grade 3 mobility of the lower right molar and chronic periodontitis. CT revealed periradicular inflammation and sinus tract formation.
Wound culture grew Streptococcus anginosus that was resistant to penicillin. Identify this condition and suggest management. *This case is from Docplexus editorial team for educational purpose only. Source: NEJM Stay Connected, the answer will be posted in the next 48h!
