Souza Luana Carneiro Diniz, Lopes Fernanda Ferreira, Bastos Eider Guimarães, Alves Cláudia Maria Coelho
Universidade Federal do Maranhão, Programa de Pós-Graduação em Odontologia, São Luís, MA, Brasil.
Universidade Federal do Maranhão, Departamento de Odontologia, São Luís, MA, Brasil.
J Bras Nefrol. 2018 Jan-Mar;40(1):82-85. doi: 10.1590/1678-4685-JBN-3812. Epub 2018 Apr 19.
Chronic renal patients are more susceptible to hospital complications and infections such as urinary tract infections, peritonitis, surgery infections, and bacteremia, which are often caused by Pseudomonas aeruginosa. A case of a HIV-positive girl with chronic kidney disease and with serious oral lesions due to P. aeruginosa septic shock is presented. The patient showed necrotic lesions in the oral mucosa, pathological tooth mobility, bone loss, and hematogenous osteomyelitis in the maxilla. The patient was submitted to systemic antibiotic therapy based on screening culture and treatment of bone lesions by eliminating the causal agent and restoring health conditions. This case report is extremely important for health professionals, since the oral cavity can be affected by this pathogen or serve as a colonization site.
慢性肾病患者更容易出现医院并发症和感染，如尿路感染、腹膜炎、手术感染和菌血症，这些感染通常由铜绿假单胞菌引起。本文介绍了一例感染艾滋病毒的女孩，患有慢性肾病，因铜绿假单胞菌感染性休克导致严重的口腔病变。患者口腔黏膜出现坏死性病变、病理性牙齿松动、骨质流失以及上颌骨血源性骨髓炎。基于筛查培养结果，对患者进行了全身抗生素治疗，并通过消除病原体和恢复健康状况来治疗骨病变。该病例报告对医疗专业人员极为重要，因为口腔可能会受到这种病原体的影响或成为其定植部位。
