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结核感染与拔牙:诊断与治疗困境

Tuberculous Infection and Exodontia: A Diagnostic & Treatment Dilemma.

作者信息

Kumar Vedati Santosh, Reddy G Santosh, Charan D Guru, Swetha Karipineni, Neelima Chembolu, Ramachandruni Nimeshika

机构信息

Department of Oral and Maxillofacial Surgery, Malla Reddy Dental College for Women, Hyderabad, Telangana, India.

Department of Oral and Maxillofacial Surgery, Drs. Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Vijayawada, Andhra Pradesh, India.

出版信息

Ann Maxillofac Surg. 2019 Jul-Dec;9(2):455-458. doi: 10.4103/ams.ams_5_19.

Abstract

Tuberculous infection is more common in developing countries which are often overlooked by most of the doctors due to improper medical case history. This causes further complications as they proceed with their procedure. Till date, in dentistry, 90 such cases have been reported in literature. Hence, a dentist should be suspecting preexisting tuberculous osteomyelitis or postextraction complications from such an infection in patients with a positive history of tuberculous infection. Diagnosis as such is often overlooked despite a high prevalence of the disease in high-burden countries such as India. We report this case because of the rarity of its clinical presentation, which was misdiagnosed as odontogenic problem instead of preexisting tuberculous osteomyelitis in the mandibular retromolar region.

摘要

结核感染在发展中国家更为常见,由于病史记录不当,大多数医生往往会忽视这些情况。这会在他们进行治疗过程中导致进一步的并发症。迄今为止,在牙科领域,文献中已报道了90例此类病例。因此,对于有结核感染阳性病史的患者,牙医应怀疑其存在先前的结核性骨髓炎或此类感染引起的拔牙后并发症。尽管在印度等高负担国家该疾病的患病率很高,但此类诊断往往被忽视。我们报告该病例是因为其临床表现罕见,最初被误诊为牙源性问题,而非下颌磨牙后区先前存在的结核性骨髓炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee47/6933967/da557bf592bf/AMS-9-455-g001.jpg

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