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COVID 后患上颌骨毛霉菌骨髓炎:一例报告。

Mucormycotic osteomyelitis of maxilla post-COVID patient: a case report.

机构信息

Department of Community Health Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India.

出版信息

Pan Afr Med J. 2021 Aug 27;39:275. doi: 10.11604/pamj.2021.39.275.30480. eCollection 2021.

Abstract

Fungal osteomyelitis is a life-threatening and seldom seen opportunistic infection. It is commonly an affectation of the nose and paranasal sinuses within the orofacial region. It is an aggressive infection that needs to be addressed promptly to prevent fatal consequences. The mode of infection is via the inhalation route and infection begins initially in the nose and paranasal sinuses with subsequent invasion into the vascular tissue, eventually leading to thrombosis and necrosis of nearby hard and soft tissues. Here, we report a case of a 31-year-old male who presented with pain over the upper jaw that was sudden in onset, continuous, dull aching, radiating towards forehead and neck of the left side, aggravates on mastication and relives on its own. He had a history of uncontrolled diabetes mellitus. On further investigation, using diagnostic and Interventional aids, a final diagnosis of mucormycotic osteomyelitis of the maxilla was made.

摘要

真菌性骨髓炎是一种危及生命且罕见的机会性感染。它通常是口面区域中鼻腔和副鼻窦的一种影响。这是一种侵袭性感染,需要迅速处理,以防止致命后果。感染途径是通过吸入,感染最初发生在鼻腔和副鼻窦,随后侵犯血管组织,最终导致血栓形成和邻近硬组织和软组织坏死。在这里,我们报告了一例 31 岁男性患者,其表现为突发性、持续性、隐痛、左侧额部和颈部放射痛,咀嚼时加重,自行缓解。他有未控制的糖尿病病史。进一步调查,使用诊断和介入手段,最终诊断为上颌骨毛霉菌骨髓炎。

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