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| 題 名 | Right-face Cellulitis Attributable to a Nonodontogenic Infection in a Patient with Diabetes Mellitus--A Case Report=糖尿病患者非齒源性顏面蜂窩性組織炎--病例報告 |
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| 作 者 | 李宇璿; 林志恭; 張維晉; 謝義興; 王宜斌; 陳元武; | 書刊名 | 中華民國家庭牙醫學雜誌 |
| 卷 期 | 10:2 2015.09[民104.09] |
| 頁 次 | 頁23-28 |
| 分類號 | 415.668 |
| 關鍵詞 | 非齒源性感染; 蜂窩組織炎; 糖尿病; 克雷伯氏肺炎菌; Nonodontogenic infection; Cellulitis; Diabetes mellitus; DM; Klebsiella pneumoniae; |
| 語 文 | 英文(English) |
| 中文摘要 | 齒源性感染常導致頭頸部蜂窩性組織炎,臨床上偶有診斷不易之病例,雖為嚴重感染卻無齒源性問題。本病例為54歲男性,有糖尿病病史,主訴為右側臉頰不明原因腫痛兩天。口腔檢查無任何齒源性感染來源,電腦斷層影像及臨床檢查顯示右側頰、顎下、頦下間隙腫脹,診斷為右側顎顏面蜂窩性組織炎。經抗生素治療,有濃液自右側口角引流出。經細菌培養,菌叢為Klebsiella pneumoniae。持續換藥及清創後,並配合Cefazolin及Gentamicin的使用,感染得到控制。提出此非典型之顎顏面區感染,供臨床參考。 |
| 英文摘要 | Odontogenic infections often occur with dental caries and periodontal disease and commonly have local and systemic implications. Diagnosing a nonodontogenic orofacial infection related to an odontogenic infection is difficult. Both odontogenic and nonodontogenic infections may extend to potential fascial spaces in the orofacial area or deep in the head and neck. The latter complication is often life threatening. Here, we report a case in which a 54-year-old male with diabetes mellitus (DM) had painful swelling of the right cheek. No odontogenic infection source was found after oral examination. Cellulitis was diagnosed, and the infection was determined to be in the right buccal, submandibular, and submental space. After sufficient antibiotic treatment, pus was drained from the right oral commissure, and Klebsiella pneumonia was determined. The patient's history showed that he had DM and suffered a scratch to his oral right commissure as a result of an accident, which explained the nonodongenic cellulitis. |
本系統中英文摘要資訊取自各篇刊載內容。