Suppr超能文献

新型冠状病毒肺炎对颌骨骨髓炎发展的影响:一项系统评价

Impact of COVID-19 Disease on the Development of Osteomyelitis of Jaws: A Systematic Review.

作者信息

Vardas Emmanouil, Adamo Daniela, Canfora Federica, Kouri Maria, Delli Konstantina, Mignogna Michele Davide, Nikitakis Nikolaos

机构信息

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.

出版信息

J Clin Med. 2024 Jul 23;13(15):4290. doi: 10.3390/jcm13154290.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26fa/11312479/56a680c15d95/jcm-13-04290-g001.jpg

相似文献

1
Impact of COVID-19 Disease on the Development of Osteomyelitis of Jaws: A Systematic Review.
J Clin Med. 2024 Jul 23;13(15):4290. doi: 10.3390/jcm13154290.
2
Analysis of the factors affecting the formation of the microbiome associated with chronic osteomyelitis of the jaw.
Clin Microbiol Infect. 2014 May;20(5):O309-17. doi: 10.1111/1469-0691.12400. Epub 2013 Nov 11.
4
Osteomyelitis of Jaw Bone due to Aspergillosis in Post-COVID-19 Patients: An Observational Study.
J Maxillofac Oral Surg. 2024 Apr;23(2):308-315. doi: 10.1007/s12663-023-02041-z. Epub 2023 Nov 16.
5
Post-COVID mucormycosis osteomyelitis and its imaging manifestations in the North of Iran: case series.
Oral Radiol. 2024 Jan;40(1):69-80. doi: 10.1007/s11282-022-00650-x. Epub 2022 Sep 5.
6
Aspergillosis and Mucormycosis in COVID-19 Patients: A Systematic Review.
J Coll Physicians Surg Pak. 2022 May;32(5):639-645. doi: 10.29271/jcpsp.2022.05.639.
7
Osteomyelitis of the jaws in patients with pycnodysostosis: a systematic review.
Braz J Otorhinolaryngol. 2021 Sep-Oct;87(5):620-628. doi: 10.1016/j.bjorl.2020.12.009. Epub 2021 Jan 29.
8
Orofacial Mycoses in Coronavirus Disease-2019 (COVID-19): A Systematic Review.
Int Dent J. 2022 Oct;72(5):607-620. doi: 10.1016/j.identj.2022.02.010. Epub 2022 Mar 1.
9
Effect of bisphosphonates on healing of tooth extraction wounds in infectious osteomyelitis of the jaw.
Bone. 2021 Feb;143:115611. doi: 10.1016/j.bone.2020.115611. Epub 2020 Aug 21.

引用本文的文献

1
Aspergillosis Osteomyelitis of the Mandible: A Case Report and Literature Review.
Sage Open Pathol. 2025 May 29;18:30502098251344770. doi: 10.1177/30502098251344770. eCollection 2025 Jan-Dec.

本文引用的文献

1
Maxillary Mucormycotic Osteonecrosis as a Manifestation of Post-COVID-19 Infection in Non-diabetic Patients: Report of Two Cases.
J Microsc Ultrastruct. 2023 Nov 2;12(2):99-103. doi: 10.4103/jmau.jmau_81_23. eCollection 2024 Apr-Jun.
2
Two Cases of COVID-Related Osteonecrosis of the Jaws: A New and Worrying Entity Is Emerging.
World J Plast Surg. 2024;13(1):96-102. doi: 10.61186/wjps.13.1.96.
3
Osteomyelitis of Jaw Bone due to Aspergillosis in Post-COVID-19 Patients: An Observational Study.
J Maxillofac Oral Surg. 2024 Apr;23(2):308-315. doi: 10.1007/s12663-023-02041-z. Epub 2023 Nov 16.
4
Mucormycotic osteomyelitis of the mandible.
Indian J Pathol Microbiol. 2024 Apr 1;67(2):477-478. doi: 10.4103/ijpm.ijpm_792_22. Epub 2023 Jul 26.
5
Actinomycotic Sinomaxillary Infection in a COVID-19 Patient: A Case Report and Review of the Literature.
J Investig Med High Impact Case Rep. 2023 Jan-Dec;11:23247096231217823. doi: 10.1177/23247096231217823.
6
Estimating the prevalence of oral manifestations in COVID-19 patients: a systematic review.
Osong Public Health Res Perspect. 2023 Oct;14(5):388-417. doi: 10.24171/j.phrp.2023.0033. Epub 2023 Sep 19.
7
Post-COVID Fungal Osteomyelitis-Another Killer.
J Pharm Bioallied Sci. 2023 Jul;15(Suppl 2):S831-S836. doi: 10.4103/jpbs.jpbs_37_23. Epub 2023 Jul 11.
8
Maxillary mucormycosis and aspergillosis in post-COVID-19 patients in Mexico: A case series.
J Stomatol Oral Maxillofac Surg. 2024 Feb;125(1):101615. doi: 10.1016/j.jormas.2023.101615. Epub 2023 Aug 28.
10
Fungal contamination of medical masks among forensic healthcare workers in the COVID19 era.
New Microbes New Infect. 2023 Apr 26;53:101134. doi: 10.1016/j.nmni.2023.101134. eCollection 2023 Jun.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验