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将牙源性感染误诊为皮肤病变:诊断困境

Misdiagnosis of an Odontogenic Infection as a Skin Lesion: The Diagnostic Dilemma.

作者信息

Jain Anushka, Reche Amit, Singhai Soumya, Paul Priyanka, Raisoni Khushee, Agrawal Komal

机构信息

Dentistry, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Aug 2;16(8):e66024. doi: 10.7759/cureus.66024. eCollection 2024 Aug.

Abstract

Extraoral sinus tracts of endodontic origin might be confused for a variety of dermatological conditions. Differential diagnosis of this clinical condition plays an essential role in providing appropriate clinical care because misdiagnosis is the most prevalent cause of prolonged therapy and healing failure. As a result, every cutaneous sinus structure affecting the face or neck should be investigated for dental issues. Its diagnosis can sometimes be difficult until the treating clinician examines the potential of a dental cause. Once an appropriate diagnosis has been established, definitive treatment, consisting of root canal therapy or tooth extraction, to remove the primary source of infection is a straightforward and successful operation.

摘要

牙髓源性口外窦道可能会与多种皮肤病况相混淆。对这种临床状况进行鉴别诊断在提供恰当临床护理方面起着至关重要的作用,因为误诊是治疗时间延长和愈合失败的最常见原因。因此,对于影响面部或颈部的每个皮肤窦道结构,都应排查是否存在牙齿问题。在治疗临床医生检查牙齿病因的可能性之前,其诊断有时会很困难。一旦确立了恰当的诊断,由根管治疗或拔牙组成的确定性治疗,以消除感染的主要来源,是一个简单且成功的操作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b705/11366281/fe090bd50d1b/cureus-0016-00000066024-i01.jpg

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