下顎骨骨折に継発したMRSA骨髄炎の1例 A case of MRSA osteomyelitis of the mandible that occurred after fracture
A case of methicillin-resistant<I>Staphylococcus aureus</I> (MRSA) osteomyelitis arising in the mandible secondary to a fracture is presented. A 16-year-old boy was transported to our hospital after a traffic accident. Clinical examination revealed that he had suffered multiple trauma, including a mandibular fracture. After intensive treatment by brain surgeons for 2 weeks, open reduction and fixation of the mandible were performed. About 3 weeks after surgery, an abscess had formed on the surgical wound, and microbial culture yielded MRSA. A bony abnormality was detected on computed tomography. The patient received Teicoplanin (TEIC) and sequestrectomy was performed. Histopathological findings of the excised bone were consistent with osteomyelitis. After observation for a month, a bone graft was performed. MRSA was not detected in bone specimes obtained at the time of surgery. No recurrence has been noted as of 1 year after the last operation.
日本口腔外科学会雑誌 52(7), 411-415, 2006-07-20
Japanese Society of Oral and Maxillofacial Surgeons