COVID-19 相关腮腺脓肿。
COVID-19-associated Parotid Gland Abscess.
机构信息
Oral and Craniomaxillofacial Surgery, Eppendorf University Hospital, University of Hamburg, Hamburg, Germany.
出版信息
In Vivo. 2022 May-Jun;36(3):1349-1353. doi: 10.21873/invivo.12837.
BACKGROUND
Human infection with the SARS-CoV-2 virus has caused a pandemic characterized by a plethora of diseases, of which those affecting the internal organs and nervous system can have severe, life-threatening consequences. Among the manifestations of the disease at the viral entry site, diseases in oral mucosa adnexa are rarely reported. This case report describes a COVID-19-associated aggravating parotid gland disease.
CASE REPORT
The 47-year-old, SARS-CoV-2-positive male patient, already hospitalized and now in need of ventilation, had been referred for intensive care treatment due to increasing respiratory problems. A unilateral swelling of the cheek was noticed, the cause of which was initially a parotid gland infection. Examination ruled out mechanical causes of the parotid gland. During further treatment, the patient developed a parotid abscess, which was drained extra orally.
CONCLUSION
The oral cavity is primarily considered as a reservoir of the pathogen. There is an increasing number of reports detailing inflammation of the major salivary glands associated with SARS-CoV-2 virus. Knowledge of this association facilitates therapeutic decisions.
背景
人类感染 SARS-CoV-2 病毒引发了一场大流行，其特征是出现大量疾病，其中影响内脏和神经系统的疾病可能会产生严重的、危及生命的后果。在病毒进入部位的疾病表现中，口腔黏膜附属器疾病很少见。本病例报告描述了一例与 COVID-19 相关的、使腮腺疾病恶化的病例。
病例报告
该 47 岁男性 SARS-CoV-2 阳性患者已住院，现需通气治疗，因呼吸问题加重而被转至重症监护治疗。患者出现单侧脸颊肿胀，最初被诊断为腮腺感染。检查排除了腮腺机械性原因。在进一步治疗过程中，患者发展为腮腺脓肿，行口腔外引流。
结论
口腔主要被认为是病原体的储存库。越来越多的报告详细描述了与 SARS-CoV-2 病毒相关的主要唾液腺炎症。了解这种关联有助于做出治疗决策。
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