頬部に発症した放線菌症の1例 A case of actinomycosis arising in the cheek

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著者

    • 松浦 隆 MATSUURA Takashi
    • 松本歯科大学口腔顎顔面外科学講座 Department of Oral and Maxillofacial Surgery, Matsumoto Dental University School of Dentistry
    • 上松 隆司 UEMATSU Takashi
    • 松本歯科大学口腔顎顔面外科学講座 Department of Oral and Maxillofacial Surgery, Matsumoto Dental University School of Dentistry
    • 堂東 亮輔 [他] DOTO Ryosuke
    • 松本歯科大学口腔顎顔面外科学講座 Department of Oral and Maxillofacial Surgery, Matsumoto Dental University School of Dentistry
    • 中山 洋子 NAKAYAMA Yoko
    • 松本歯科大学口腔顎顔面外科学講座 Department of Oral and Maxillofacial Surgery, Matsumoto Dental University School of Dentistry
    • 森 亮太 MORI Ryota
    • 松本歯科大学口腔顎顔面外科学講座 Department of Oral and Maxillofacial Surgery, Matsumoto Dental University School of Dentistry
    • 古澤 清文 FURUSAWA Kiyofumi
    • 松本歯科大学口腔顎顔面外科学講座 Department of Oral and Maxillofacial Surgery, Matsumoto Dental University School of Dentistry

抄録

We report a case of actinomycosis affecting the buccal mucosa in a patient with systemic lupus erythematosus. A 66-year-old woman with systemic lupus erythematosus presented with a swelling of the lower lip and left cheek. We suspected a salivary gland adenocarcinoma on inspection, palpation, and evaluation of the serum CA19-9 level. Enhanced computed tomography showed the location of the tumor. Other imaging techniques, including magnetic resonance imaging and ultrasonic tomography, were employed to support the clinical diagnosis. We performed a biopsy and histopathologically diagnosed the lesion as actinomycosis. The patient underwent abscess incision several times and received intravenous injections of 3g ABPC daily for 7 days, followed by 400mg of oral ABPC for 4 weeks. There was no sign of recurrence after treatment. Imaging methods were considered useful for the clinical diagnosis of actinomycosis.

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 51(6), 295-298, 2005-06-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018955055
  • 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
    7403578
  • 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  CJP引用  NDL  J-STAGE 
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