Rónai A, Olasz L, Mühl D
Pécsi Tudományegyetem Altalános Orvosi Kar, Fogászati és Szájsebészeti Klinika, Pécs.
Fogorv Sz. 2001 Feb;94(1):27-31.
The extraction of a tooth led to the acute exacerbation of existing chronic osteomyelitis then phlegmon, and sepsis as a result. Persisting coma developed after three reanimations of the patient, on account of septic shock. Finally, in more than two weeks following the extraction the patient died due to multiorgan failure. This case description wishes to call attention to the risks of complications of diabetes, to summarize the relevant documents of diagnosis and treatment of osteomyelitis and phlegmon and the data of mortality. Hopefully we offer some useful advice to the general dentist about patients with immunosuppressive diseases.
拔牙导致了现有的慢性骨髓炎急性加重，进而发展为蜂窝织炎，最终引发败血症。患者经过三次复苏后陷入持续昏迷，原因是感染性休克。最终，拔牙两周多后，患者因多器官衰竭死亡。本病例描述旨在提醒人们注意糖尿病并发症的风险，总结骨髓炎和蜂窝织炎的相关诊断和治疗文献以及死亡率数据。希望我们能为普通牙医提供一些关于免疫抑制疾病患者的有用建议。
