重症COVID-19患者放线菌所致慢性双颌骨髓炎1例

IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Odovtos - International Journal of Dental Sciences Pub Date : 2023-07-25 DOI:10.15517/ijds.2023.55954
Emmanuel López-González, M. Vitales-Noyola, D. Alvarado-Hernández, A. Comas-García, A. Muñoz-Ruíz, V. Méndez-González, A. Pozos-Guillen
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引用次数: 0

摘要

骨髓炎定义为髓质骨、皮质骨或松质骨(包括神经和血管)的炎症,引起坏死和骨屑形成;这种情况已经成为一种罕见的病理,牙源性感染被认为是最常见的病因。本病例为放线菌引起的双颌骨髓炎患者,严重感染COVID-19后病情加重。患者接受手术治疗,通过Weber-Fergusson手术技术扩大双侧上颌全切除术,并长期联合使用抗生素,恢复良好。随访2年后,患者未表现出影像学或临床感染骨髓炎的证据。本病例显示了一种罕见感染与其与COVID-19之间的有趣关系。
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Chronic Bi-Maxillary Osteomyelitis Caused by Actinomycetes in a Patient with Severe COVID-19
Osteomyelitis is defined as the inflammation of the either medullary, cortical, or cancellous bone, including nerves and blood vessels, causing necrosis and bone sequestrum formation; this condition has become a rare pathology, and odontogenic infections are considered the most frequent causal factor. This case shows a patient with bi-maxillary osteomyelitis caused by Actinomyces spp, which was worsened for severe COVID-19 infection. Patient was submitted at surgery as, amplified total bilateral maxillectomy through the surgical technique Weber-Fergusson, and prolonged use of combination of antibiotics, achieved a good recovery. Two years later follow-up, the patient no show imaging or clinical evidence of the infection of osteomyelitis. The present case shows an interesting relationship between a rare infection and its association with COVID-19.
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来源期刊
Odovtos - International Journal of Dental Sciences
Odovtos - International Journal of Dental Sciences DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.00
自引率
0.00%
发文量
50
审稿时长
8 weeks
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