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一例与登革热相关的上颌牙槽骨骨坏死病例。

A case of dengue-related osteonecrosis of the maxillary dentoalveolar bone.

作者信息

Al-Namnam N M, Nambiar P, Shanmuhasuntharam P, Harris M

机构信息

Department of Oro-Maxillofacial Clinical Sciences, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia.

School of Medicine and Dentistry, University of Central Lancashire, Preston, UK.

出版信息

Aust Dent J. 2017 Jun;62(2):228-232. doi: 10.1111/adj.12472. Epub 2017 May 22.

DOI:10.1111/adj.12472
PMID:27743399
Abstract

Dengue is a mosquito transmitted flaviviral infection which can give rise to severe haemorrhage (dengue haemorrhagic fever) and with capillary leakage induces hypovolaemic shock (dengue shock syndrome). Although dengue symptoms and complications have been known for many decades, there has only been one documented case of osteonecrosis of the maxilla which was treated by excision of the necrotic bone. In this case of dengue infection, extensive maxillary osteonecrosis and minimal root resorption appeared to follow factitious injury with a toothpick but resolved with non-surgical management.

摘要

登革热是一种由蚊子传播的黄病毒感染,可导致严重出血(登革出血热),并伴有毛细血管渗漏引发低血容量性休克(登革休克综合征)。尽管数十年来人们已经了解登革热的症状和并发症,但仅有一例上颌骨坏死的记录病例,该病例通过切除坏死骨进行治疗。在这例登革热感染病例中,上颌骨广泛坏死和轻微的牙根吸收似乎是由用牙签造成的人为损伤引起的,但通过非手术治疗得以解决。

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