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題名 | 放線菌骨髓炎--病例報告=Actinomycotic Osteomyelitis: A Case Report |
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作者 | 鄭舒瞳; 陳晶晶; 黃佳雯; 林滄溢; 周怡江; 林慧娟; 林慧娟; | 書刊名 | 北市醫學雜誌 |
卷期 | 16:2 2019.06[民108.06] |
頁次 | 頁162-167 |
分類號 | 416.95 |
關鍵詞 | 放線菌; 骨髓炎; Actinomycosis; Osteomyelitis; |
語文 | 中文(Chinese) |
中文摘要 | 放線菌骨髓炎是罕見的感染性疾病,由放線菌感染骨髓、骨皮質和骨膜而引起。本病例為56歲中年男性,因右下顎臼齒舌側牙齦潰瘍且有尖銳骨突出,至本院牙科求診。該患者無抽菸、喝酒、嚼食檳榔,且無服用雙磷酸鹽藥物,也沒有放射治療的病史。經臨床檢查後,安排牙齦翻瓣手術併局部軟、硬組織病灶刮除。組織病理學檢查證實為放線菌骨髓炎。經使用口服抗生素amoxicillin 500mg q6h治療三個月後,門診追蹤至今並無復發。 |
英文摘要 | Actinomycete osteomyelitis is a rare infectious disease caused by actinomycetes infection of the bone marrow, cortical bone, and periosteum. This case is a 56-year-old middle-aged man who has been diagnosed with dental problems due to ulceration of the lingual l gingiva of the right lower molar and sharp bones. The patient did not have a history of smoking, drinking, chewing betel nut, and radiation therapy and did not take bisphosphonate. After clinical examination, gingival flap surgery was performed and local soft and hard tissue lesions were scraped. Histopathological examination confirmed actinomycotic osteomyelitis. No occurrence was observed after three months of treatment with oral antibiotic Amoxicillin 500mg q6h. |
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