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一名5岁儿童新冠后多系统炎症综合征的独特口腔和行为表现：一例罕见病例报告

Unique Oral and Behavioral Manifestations of Post-COVID Multisystem Inflammatory Syndrome in a 5-year-old Child: A Rare Case Report.

作者信息

Gala Urvi P, Kalaskar Ritesh R

机构信息

Department of Pediatric and Preventive Dentistry, Government Dental College and Hospital, Nagpur, Maharashtra, India.

出版信息

Int J Clin Pediatr Dent. 2024 Jul;17(7):829-832. doi: 10.5005/jp-journals-10005-2892.

DOI:10.5005/jp-journals-10005-2892
PMID:39372536
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11451917/
Abstract

BACKGROUND

Multisystemic inflammatory syndrome (MIS) in the post-coronavirus disease (COVID) scenario is recognized in the pediatric population worldwide. However, no case report features jaw bone necrosis caused by self-mutilating injury noted during COVID treatment.

CASE DESCRIPTION

This report is of a 5-year-old child affected by COVID. During the course of treatment, she presented with MIS and was treated with steroids and oxygen therapy. She was observed to have cardiac and gastrointestinal disorders. However, some psychiatric impairment caused her to pull out her lower anterior teeth, thus acting as an injury to the tissue and causing osteomyelitis. This necrotic bone tissue was excised surgically, and due to the loss of teeth, prosthetic rehabilitation was performed for the patient.

CONCLUSION

This unique presentation of post-COVID manifestations of self-mutilating injury is alarming for the pediatric population.

HOW TO CITE THIS ARTICLE

Gala UP, Kalaskar RR. Unique Oral and Behavioral Manifestations of Post-COVID Multisystem Inflammatory Syndrome in a 5-year-old Child: A Rare Case Report. Int J Clin Pediatr Dent 2024;17(7):829-832.

摘要

背景

全球儿科人群中已认识到冠状病毒病（COVID）后出现的多系统炎症综合征（MIS）。然而，尚无病例报告显示在COVID治疗期间出现因自残性损伤导致的颌骨坏死。

病例描述

本报告介绍了一名5岁的COVID患儿。在治疗过程中，她出现了MIS，并接受了类固醇和氧疗。观察到她有心脏和胃肠道疾病。然而，一些精神障碍导致她拔除了下前牙，从而对组织造成损伤并引发骨髓炎。手术切除了这种坏死的骨组织，由于牙齿缺失，为患者进行了修复康复。

结论

这种COVID后自残性损伤表现的独特呈现对儿科人群来说令人担忧。

如何引用本文

Gala UP, Kalaskar RR. 一名5岁儿童COVID后多系统炎症综合征的独特口腔和行为表现：一例罕见病例报告。《国际临床儿科牙科杂志》2024；17(7):829 - 832。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1be/11451917/4d96e3385b63/ijcpd-17-829-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1be/11451917/936c9fd86dc7/ijcpd-17-829-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1be/11451917/9034523b8752/ijcpd-17-829-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1be/11451917/89ae4d25b246/ijcpd-17-829-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1be/11451917/1743d5dace2c/ijcpd-17-829-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1be/11451917/72889e803a90/ijcpd-17-829-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1be/11451917/7fb612925ff3/ijcpd-17-829-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1be/11451917/4d96e3385b63/ijcpd-17-829-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1be/11451917/936c9fd86dc7/ijcpd-17-829-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1be/11451917/9034523b8752/ijcpd-17-829-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1be/11451917/89ae4d25b246/ijcpd-17-829-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1be/11451917/1743d5dace2c/ijcpd-17-829-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1be/11451917/72889e803a90/ijcpd-17-829-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1be/11451917/7fb612925ff3/ijcpd-17-829-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1be/11451917/4d96e3385b63/ijcpd-17-829-g007.jpg

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