Vardas Emmanouil, Adamo Daniela, Canfora Federica, Kouri Maria, Delli Konstantina, Mignogna Michele Davide, Nikitakis Nikolaos
Department of Oral Medicine and Pathology and Hospital Dentistry, National and Kapodistrian University of Athens, 15772 Athens, Greece.
Department of Neuroscience, Reproductive Sciences, and Dentistry, University of Naples "Federico II", 80138 Naples, Italy.
J Clin Med. 2024 Jul 23;13(15):4290. doi: 10.3390/jcm13154290.
Osteomyelitis is characterized by an inflammatory process affecting both bone and bone marrow, leading to cell death and the formation of bone sequestrum. Recent literature from the past five years has documented instances of osteomyelitis following infections of SARS-CoV-2. This systematic review explores the link between osteomyelitis of the jaw (OMJ) and COVID-19 infections. This review adhered to the PRISMA guidelines, systematically analyzing literature from 2020 to 2024 sourced from databases including Medline, Embase, Scopus, and Web of Science. PROSPERO ID: CRD42024526257. The review selected 42 articles, detailing 201 cases of osteomyelitis of the jaw related to COVID-19 (COMJ). The demographic breakdown included 195 male (74.4%) and 67 female patients (25.6%), with a median age of 52.7 years, ranging from 24 to 71 years. A significant portion of COMJ patients (41.5%) were hospitalized due to COVID-19, and 58.5% received corticosteroid therapy. Diabetes mellitus was a common comorbidity among COMJ patients (65.1%). Most cases involved maxilla (182 cases; 90.5%), with nearly half showing sinus involvement (49.4%). The mandible was affected in 19 cases (9.5%). Mucormycosis and aspergillosis emerged as the predominant fungal infections, identified in 103 (51.2%) and 50 (24.9%) cases, respectively. Individuals with pre-existing health conditions such as diabetes mellitus who have been treated for COVID-19 are at an increased risk of developing OMJ, particularly maxillary fungal osteomyelitis. COMJ poses a significant diagnostic and therapeutic challenge for dental and maxillofacial professionals, who are often the first to encounter these cases.
骨髓炎的特征是炎症过程累及骨骼和骨髓,导致细胞死亡并形成骨死骨。过去五年的最新文献记录了感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)后发生骨髓炎的病例。本系统评价探讨颌骨骨髓炎(OMJ)与新型冠状病毒肺炎(COVID-19)感染之间的联系。本评价遵循系统评价和Meta分析的首选报告项目(PRISMA)指南,系统分析了2020年至2024年来自包括医学文献数据库(Medline)、荷兰医学文摘数据库(Embase)、Scopus数据库和科学引文索引(Web of Science)在内的数据库的文献。国际前瞻性系统评价注册库(PROSPERO)编号:CRD42024526257。该评价筛选出42篇文章,详细介绍了201例与COVID-19相关的颌骨骨髓炎(COMJ)病例。人口统计学分析包括195名男性患者(74.4%)和67名女性患者(25.6%),中位年龄为52.7岁,年龄范围为24至71岁。相当一部分COMJ患者(41.5%)因COVID-19住院,58.5%接受了皮质类固醇治疗。糖尿病是COMJ患者中常见的合并症(65.1%)。大多数病例累及上颌骨(182例;90.5%),近一半病例伴有鼻窦受累(49.4%)。下颌骨受累19例(9.5%)。毛霉菌病和曲霉菌病是主要的真菌感染,分别在103例(51.2%)和50例(24.9%)病例中发现。患有糖尿病等基础疾病且接受过COVID-19治疗的个体发生OMJ的风险增加,尤其是上颌骨真菌性骨髓炎。COMJ对牙科和颌面专业人员构成了重大的诊断和治疗挑战,他们往往是最先遇到这些病例的人。