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多重耐药草绿色链球菌引起的多发性深部牙颌面脓肿

Multiple Deep-seated Dentofacial Abscesses Caused by Multidrug-resistant Viridans Group Streptococci.

作者信息

Fukushima Shinnosuke, Hagiya Hideharu, Mizuta Yuki, Nakano Yasuhiro, Takahara Masahiro, Okamoto Kayo, Hayashi Yuko, Yamada Kiyoshi, Hasegawa Kou, Otsuka Fumio

机构信息

Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.

Department of Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.

出版信息

Intern Med. 2020 Aug 15;59(16):2067-2070. doi: 10.2169/internalmedicine.4283-20. Epub 2020 May 8.

DOI:10.2169/internalmedicine.4283-20
PMID:32389944
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7492120/
Abstract

Odontogenic infections, generally caused by dental caries and periodontal disease, can result in fatal illness. We herein report a 71-year-old Japanese woman with type 2 diabetes and hemodialysis who suffered from multiple dentofacial abscesses mainly caused by multidrug-resistant Streptococcus oralis. She complained of pain and swelling of her face, with an extraoral fistula from the left cheek. Following 3 surgical debridement procedures and partial mandibulectomy, in addition to 12 weeks of antimicrobial therapy, the multiple dentofacial abscesses were ameliorated. A combination of surgical and antimicrobial treatments following an early diagnosis is essential for reducing further complications.

摘要

牙源性感染通常由龋齿和牙周病引起，可导致致命疾病。我们在此报告一名71岁的日本女性，患有2型糖尿病并接受血液透析，她患有多处牙颌面脓肿，主要由耐多药口腔链球菌引起。她主诉面部疼痛和肿胀，左脸颊有口外瘘管。经过3次外科清创手术和部分下颌骨切除术，以及12周的抗菌治疗后，多处牙颌面脓肿得到改善。早期诊断后进行手术和抗菌治疗相结合对于减少进一步的并发症至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66e9/7492120/5510facfbad3/1349-7235-59-2067-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66e9/7492120/73029441501c/1349-7235-59-2067-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66e9/7492120/5510facfbad3/1349-7235-59-2067-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66e9/7492120/73029441501c/1349-7235-59-2067-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66e9/7492120/5510facfbad3/1349-7235-59-2067-g002.jpg

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The clinical impact of patients with bloodstream infection with different groups of Viridans group streptococci by using matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS).运用基质辅助激光解吸电离飞行时间质谱（MALDI-TOF MS）分析不同组草绿色链球菌血流感染患者的临床影响。
Medicine (Baltimore). 2018 Dec;97(50):e13607. doi: 10.1097/MD.0000000000013607.
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Examining the correlation between diabetes and odontogenic infection: A nationwide, retrospective, matched-cohort study in Taiwan.
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PLoS One. 2017 Jun 8;12(6):e0178941. doi: 10.1371/journal.pone.0178941. eCollection 2017.
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Infez Med. 2016 Sep 1;24(3):190-3.
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