耳下腺部に膿瘍を形成した下顎頭部骨髄炎の一例 A case of osteomyelitis of the mandibular condyle accompanied by abscess formation in the parotid region

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著者

    • 山田 朋弘 YAMADA Tomohiro
    • 岡山大学大学院医歯薬学総合研究科歯顎口腔機能再建外科学分野 Oral and Maxillofacial Reconstructive Surgery, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 森谷 徳文 MORITANI Norifumi
    • 岡山大学大学院医歯薬学総合研究科歯顎口腔機能再建外科学分野 Oral and Maxillofacial Reconstructive Surgery, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 三島 克章 [他] MISHIMA Katsuaki
    • 岡山大学医学部・歯学部付属病院口腔外科(再建系) Okayama University Hospital, Department of Oral and Maxillofacial Reconstructive Surgery
    • 近藤 誠二 KONDO Seiji
    • 岡山大学大学院医歯薬学総合研究科歯顎口腔機能再建外科学分野 Oral and Maxillofacial Reconstructive Surgery, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 香川 智正 KAGAWA Toshimasa
    • 岡山大学医学部・歯学部付属病院口腔外科(再建系) Okayama University Hospital, Department of Oral and Maxillofacial Reconstructive Surgery

抄録

A rare case of osteomyelitis of the mandibular condyle is reported. A 35-year-old woman presented with pain in the right parotid region. A dull pain had developed in the right parotid region the previous month, and swelling and pain gradually increased. At presentation, the interincisal distance was 12 mm. Radiographs revealed no obvious findings of inflammation. We doubted that her clinical symptoms were caused by parotitis and administered cefditoren pivoxil, but her symptoms worsened. The parotid gland was normal on sialography. However, osteomyelitis of the right condylar head of the mandible was found on CT, MM, and bone scintigraphy. An abscess was noted in the right parotid region. We therefore performedbacterial examinations by centesis.<BR>Microbiological examination showed an abscess associated with a mixed infection involving Gram-negative bacteria, with a dominance of<I>Actinobacillus actinomycetemcomitans</I>.Antibiotic treatment was switched to levofloxacin totreat this organism. Inflammation subsided and after 7 days. The interincisal distance returned to 30mm. There was no inflammatory recurrence for 12 months. A CT scan obtained after 5 months showed signs of remineralization in the condylar head of the mandible. In this patient, a blood-borne or local infection in the mandible appasently caused a bacterially induced form of periodontal disease.

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(2), 69-72, 2006-02-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018860404
  • 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
    7852805
  • 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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