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免疫功能低下患者上颌骨骨髓炎的非典型表现。

Atypical presentation of maxillary osteomyelitis in an immunocompromised patient.

作者信息

Divyambika C V, Warrier S Aravind, Preethi Ramesh

机构信息

Department of Oral Medicine and Radiology, Faculty of Dental Sciences, Sri Ramachandra Institute of Higher Education and Research (DU), Chennai, Tamil Nadu, India.

出版信息

J Family Med Prim Care. 2022 May;11(5):2234-2237. doi: 10.4103/jfmpc.jfmpc_2190_21. Epub 2022 May 14.

Abstract

Maxillary osteomyelitis is a relatively rare presentation. This condition is more often associated with underlying immunocompromised systemic conditions. Thorough clinical examination coupled with meticulous investigative protocol is needed to prevent the dreaded complications associated with the disease. With the emergence of new antibiotics and the use of advanced imaging modalities, the management of such patients has been better over the recent years. Oral physicians play a major role by providing primary care in the early diagnosis of such lesions, especially in immunocompromised patients, thereby improving the patient's quality of life. The present report highlights an atypical presentation of maxillary osteomyelitis in a newly diagnosed diabetic patient, with the importance of appropriate diagnostic workup, and prompt institution of treatment resulting in complete recovery.

摘要

上颌骨骨髓炎是一种相对罕见的病症。这种情况更常与潜在的免疫功能低下的全身性疾病相关。需要进行全面的临床检查并结合细致的检查方案,以预防与该疾病相关的可怕并发症。随着新型抗生素的出现和先进成像方式的应用,近年来此类患者的治疗情况有所改善。口腔医生通过在这些病变的早期诊断中提供初级护理发挥着重要作用,尤其是在免疫功能低下的患者中,从而提高患者的生活质量。本报告强调了一名新诊断的糖尿病患者上颌骨骨髓炎的非典型表现,以及适当诊断检查和及时开始治疗从而实现完全康复的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f42/9254809/86c59c3c8403/JFMPC-11-2234-g001.jpg

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