頸部リンパ節炎に起因する細菌性総頸動脈瘤の1例 A case of bacterial aneurysm of the common carotid artery caused by neck lymphadenitis

この論文にアクセスする

この論文をさがす

著者

    • 上原 忍 UEHARA Shinobu
    • 信州大学医学部歯科口腔外科学教室 Department of Dentistry and Oral Surgery Shinshu University School of Medicine
    • 栗田 浩 KURITA Hiroshi
    • 信州大学医学部歯科口腔外科学教室 Department of Dentistry and Oral Surgery Shinshu University School of Medicine
    • 酒井 洋徳 SAKAI Hironori
    • 信州大学医学部歯科口腔外科学教室 Department of Dentistry and Oral Surgery Shinshu University School of Medicine
    • 鎌田 孝広 KAMATA Takahiro
    • 信州大学医学部歯科口腔外科学教室 Department of Dentistry and Oral Surgery Shinshu University School of Medicine
    • 倉科 憲治 KURASHINA Kenji
    • 信州大学医学部歯科口腔外科学教室 Department of Dentistry and Oral Surgery Shinshu University School of Medicine

抄録

Bacterial aneurysm of the common carotid artery is rare. Septicemia, dental infection, postoperative infection, and endocarditis are thought cause this disease. In this paper, we describe a case of a common carotid artery bacterial aneurysm caused by neck lymphadenitis.<BR>A 49-year-old man was referred to us for treatment of pain in the third molar region of the left side of the mandible and swelling and pain in the left side of the neck. After the symptoms resolved in response to antibiotic chemotherapy, we extracted the left lower second molar and impacted third molar. Twelve days after, he visited our hospital again because of swelling in the left side of the neck. Pulsation could be noted on the swelling. The white blood cell count was 14880/ml, and the C-reactive protein level was 10.77mg/dl. A CT scan revealed a pseudoaneurysm of the left common carotid artery. He was referred to neurosurgeons and received a diagnosis of aneurysm of the common carotid artery caused by bacterial infection, judging from the clinical course. Antibiotics were administered for 6 weeks. After the inflammation resolved, he underwent common carotid-internal carotid artery bypass. Histopathologically, the diagnosis was bacterial aneurysm caused by neck lymphadenitis.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 52(9), 511-514, 2006-09-20 

    Japanese Society of Oral and Maxillofacial Surgeons

参考文献:  9件

参考文献を見るにはログインが必要です。ユーザIDをお持ちでない方は新規登録してください。

各種コード

  • NII論文ID(NAID)
    10018859417
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • NDL 記事登録ID
    8530028
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  NDL  J-STAGE 
ページトップへ