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

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著者

    • 猟山 大 RYOYAMA Dai
    • 掛川市立総合病院歯科口腔外科 Division of Dentistry and Oral Surgery, Kakegawa Municipal General Hospital
    • 藤内 祝 [他] THONAI Iwai
    • 名古屋大学大学院医学系研究科頭頸部感覚器外科学講座顎顔面外科学 Department of Oral and Maxillofacial Surgery, Nagoya University Graduate School of Medicine
    • 上田 実 UEDA Minoru
    • 名古屋大学大学院医学系研究科頭頸部感覚器外科学講座顎顔面外科学 Department of Oral and Maxillofacial Surgery, Nagoya University Graduate School of Medicine

抄録

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.

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(7), 411-415, 2006-07-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018859599
  • 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
    8045861
  • 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 
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