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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.

PMID:22993494
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3442629/
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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本文引用的文献

1
Necrotising orbital cellulitis.坏死性眼眶蜂窝织炎
Eye (Lond). 2001 Apr;15(Pt 2):173-7. doi: 10.1038/eye.2001.55.
2
Orbital cellulitis as a sole symptom of odontogenic infection.眶蜂窝织炎作为牙源性感染的唯一症状。
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Preseptal and orbital cellulitis in childhood. A changing microbiologic spectrum.儿童眶隔前蜂窝织炎和眼眶蜂窝织炎。微生物谱的变化
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Odontogenic orbital cellulitis. Report of a case and considerations on route of spread.牙源性眶蜂窝织炎。1例报告及关于传播途径的思考
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Diagnosis of cavernous sinus thrombosis by magnetic resonance imaging using flow parameters.利用血流参数通过磁共振成像诊断海绵窦血栓形成。
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Septic cavernous sinus thrombosis following infection of ethmoidal and maxillary sinuses: a case report.筛窦和上颌窦感染后发生的化脓性海绵窦血栓形成:一例报告
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Computed tomography in the management of orbital infections associated with dental disease.计算机断层扫描在与牙病相关的眼眶感染管理中的应用
Br J Ophthalmol. 1982 Apr;66(4):269-74. doi: 10.1136/bjo.66.4.269.
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Septic cavernous sinus thrombosis associated with gingivitis and parapharyngeal abscess.
Arch Ophthalmol. 1984 Jan;102(1):94-7. doi: 10.1001/archopht.1984.01040030078040.
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Orbital cellulitis.眶蜂窝织炎
Br J Ophthalmol. 1986 Mar;70(3):174-8. doi: 10.1136/bjo.70.3.174.