以同侧咽旁脓肿和对侧眼眶蜂窝织炎为表现的牙源性感染——病例报告
Dental infection presenting with ipsilateral parapharyngeal abscess and contralateral orbital cellulitis - a case report.
作者信息
Embong Zunaina, Ismail Shatriah, Thanaraj Asokumaran, Hussein Adil
机构信息
Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia.
出版信息
Malays J Med Sci. 2007 Jul;14(2):62-6.
Abstract
A 43 year-old man presented with pain on the right tooth for three days duration. Computed tomography showed left orbital cellulitis and right parapharyngeal abscess. There was also evidence suggestive of a dental abscess over right upper alveolar region. Magnetic resonance imaging revealed left superior ophthalmic vein thrombosis. Emergency drainage of the right parapharyngeal abscess was performed. Right maxillary molar extraction revealed periapical abscess. Left eye proptosis markedly reduced after initiating heparin.
摘要
一名43岁男性因右侧牙痛3天前来就诊。计算机断层扫描显示左侧眼眶蜂窝织炎和右侧咽旁脓肿。也有证据提示右上牙槽区域存在牙脓肿。磁共振成像显示左侧眼上静脉血栓形成。对右侧咽旁脓肿进行了紧急引流。拔除右上颌磨牙显示根尖脓肿。开始使用肝素后，左眼突出明显减轻。
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