"Lumpy Jaw" in a 20-year-old Male Resists Treatment

The lesion, along the patient's left jaw line, has not responded to antibiotic treatment. A colleague asks for your help.

A colleague asks you to see a 20-year-old who has been treated unsuccessfully with a series of antibiotics for a persistent lump along his jawline. Was something overlooked in exam?Follow the history and take a closer look in the slide show above. Resources Razavi SM, Kiani S, Khalesi S. Periapical lesions: a review of clinical, radiographic, and histopathologic features. Avicenna J Dental Res. 2015;7: e19435Brown RS, Jones R, Feimster T, Sam FE. Cutaneous sinus tracts (or emerging sinus tracts) of odontogenic origin: a report of 3 cases. Clin Cosmet Investig Dent. 2010;2:63-67. Print 2010.Giménez-García R, Martinez-Vera F, Fuentes-Vera L. Cutaneous sinus tracts of odontogenic origin: two case reports. J Am Board Fam Med. 2015 Nov-Dec;28:838-840.