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[源自牙病的帕罗娜间隙脓肿:多学科治疗方法]

[Parona Space Abscess Derived from Dental Disease: Multidisciplinary Approach].

作者信息

Fonseca Luís, Ribeiro Luís, Pinheiro Jorge, Guerra Ana

机构信息

Serviço de Estomatologia. Hospital de S. José. Centro Hospitalar de Lisboa Central. Lisboa, Portugal.

Serviço de Cirurgia Plástica e Reconstrutiva. Hospital de S. José. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.

出版信息

Acta Med Port. 2018 Aug 31;31(7-8):431-435. doi: 10.20344/amp.9932.

Abstract

Parona Space infection is a rare forearm condition. We present a case of a 55-year-old male with pain and loss of function in the distal forearm for one week, with no previous history of trauma. Additionally, he presented a history of odontogenic infection, synchronous with the onset of the symptoms in the forearm, with spontaneous resolution. The wrist ultrasound found an abscess in the Parona space that was surgically drained. The bacterial culture test was positive for Streptococcus constellatus. Oral evaluation revealed symptomatic exacerbation in the upper left second molar of chronic periodontitis. Oral septic foci were eliminated and the patient had full recovery. Dental history, the bacteria isolated and the absence of trauma confirm the dental origin of the abscess. As far as the authors are aware, this is the first published case of an odontogenic forearm abscess. This case highlights the importance of systematic elimination of oral septic foci in the population.

摘要

帕罗娜间隙感染是一种罕见的前臂疾病。我们报告一例55岁男性,其前臂远端疼痛和功能丧失一周,既往无外伤史。此外,他有牙源性感染病史,与前臂症状发作同步,且已自行缓解。手腕超声检查发现帕罗娜间隙有脓肿,遂进行手术引流。细菌培养检测显示星座链球菌呈阳性。口腔检查发现左上第二磨牙慢性牙周炎症状加重。清除口腔感染灶后,患者完全康复。牙科病史、分离出的细菌以及无外伤情况证实了脓肿的牙源性起源。据作者所知,这是首例发表的牙源性前臂脓肿病例。该病例凸显了对人群系统性清除口腔感染灶的重要性。

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