内頸静脈血栓症を伴った咀嚼筋間隙膿瘍の1例
In this super-aging society, treatment of patients with a variety of underlying diseases has become more complex. This case report describes a 78-year-old woman who was receiving long-term steroid therapy for rheumatoid arthritis. The patient was referred to our hospital for swelling of the right ch...
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| Published in | 日本口腔外科学会雑誌 Vol. 59; no. 5; pp. 326 - 330 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
社団法人 日本口腔外科学会
20.05.2013
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-5163 2186-1579 |
| DOI | 10.5794/jjoms.59.326 |
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| Abstract | In this super-aging society, treatment of patients with a variety of underlying diseases has become more complex. This case report describes a 78-year-old woman who was receiving long-term steroid therapy for rheumatoid arthritis. The patient was referred to our hospital for swelling of the right cheek and neck, associated with pain and trismus. Computed tomography (CT) revealed osteomyelitis of the mandible, which led to an abscess extending to the masticator space, facial cellulitis, and progressive internal jugular vein thrombosis. Clinical examination revealed decreased renal function and hypokalemia resulting from dehydration. We performed a surgical incision and drainage of the abscess to reduce inflammation. Steroid treatment, electrolyte abnormalities, and thrombosis were managed in coordination with a physician. Our experience shows that a multi-disciplinary team approach is required for the treatment of patients with underlying diseases. |
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| AbstractList | In this super-aging society, treatment of patients with a variety of underlying diseases has become more complex. This case report describes a 78-year-old woman who was receiving long-term steroid therapy for rheumatoid arthritis. The patient was referred to our hospital for swelling of the right cheek and neck, associated with pain and trismus. Computed tomography (CT) revealed osteomyelitis of the mandible, which led to an abscess extending to the masticator space, facial cellulitis, and progressive internal jugular vein thrombosis. Clinical examination revealed decreased renal function and hypokalemia resulting from dehydration. We performed a surgical incision and drainage of the abscess to reduce inflammation. Steroid treatment, electrolyte abnormalities, and thrombosis were managed in coordination with a physician. Our experience shows that a multi-disciplinary team approach is required for the treatment of patients with underlying diseases. |
| Author | 外木, 守雄 武安, 嘉大 片倉, 朗 東郷, 拓也 西久保, 周一 助川, 顕士 |
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| References | 1) Lemierre A : On certain septicemias due to anaerobic arganisms. Lancet 227: 701-703, 1936. 5) Nagata-Sakurai M, Inaba M, et al : Inflammation and bone resorption as independent factors of accelerated arterial wall thickening in patients with rheumatoid arthritis. Arthritis Rheum 48: 3061-3067, 2003. 6) Ross R: Atherosclerosis-an inflammatory disease. N Engl J Med 340: 115-126, 1999. 4) Kumeda Y, Inaba M, et al : Increased thickness of the arterial intima-media detected by ultrasonography in patients with rheumatoid arthritis. Arthritis Rheum 46: 1489-1497, 2002. 9) 吉永 馨：厚生省特定疾患「進行性腎障害」調査研究班業績報告書，1983. 10) Isenberg SF : International jugular vein thrombophlebitis. Ear Nose Throat J 77: 204-206, 1998. 7) Libby P : Inflammation in atherosclerosis. Nature 420: 868-874, 2002. 12) Peter B and Thomas G : Lemierre's syndrome: What are the roles for anticoagulation and long-term antibiotic therapy? Ann Otol Rhinol Laryngol 117: 679-683, 2008. 2) Chirinos JA, Lichtstein DM, et al : The evolution of Lemierre syndrome: Report of 2 cases and review of literature. Medicine 81: 458-465, 2002. 8) 深川智恵，古土井春吾，他：顎下部膿瘍からLemierre症候群に至ったと考えられた1例．日口外誌 56: 605-608, 2010. 3) Dougados M, Betteridge N, et al : EULAR standardized operating procedures for the elaboration, evaluation, dissemination, and implementation of recommendations endorsed by EULAR standing committees. Ann Rheum Dis 63: 1172-1176, 2004. 11) Pablo R, Lorena G, et al : Lemierre's syndrome: A serious complication of an odontogenic infection. Med Oral Pathol Oral Cir Buccal 1: 398-401, 2009. |
| References_xml | – reference: 1) Lemierre A : On certain septicemias due to anaerobic arganisms. Lancet 227: 701-703, 1936. – reference: 2) Chirinos JA, Lichtstein DM, et al : The evolution of Lemierre syndrome: Report of 2 cases and review of literature. Medicine 81: 458-465, 2002. – reference: 7) Libby P : Inflammation in atherosclerosis. Nature 420: 868-874, 2002. – reference: 12) Peter B and Thomas G : Lemierre's syndrome: What are the roles for anticoagulation and long-term antibiotic therapy? Ann Otol Rhinol Laryngol 117: 679-683, 2008. – reference: 3) Dougados M, Betteridge N, et al : EULAR standardized operating procedures for the elaboration, evaluation, dissemination, and implementation of recommendations endorsed by EULAR standing committees. Ann Rheum Dis 63: 1172-1176, 2004. – reference: 5) Nagata-Sakurai M, Inaba M, et al : Inflammation and bone resorption as independent factors of accelerated arterial wall thickening in patients with rheumatoid arthritis. Arthritis Rheum 48: 3061-3067, 2003. – reference: 11) Pablo R, Lorena G, et al : Lemierre's syndrome: A serious complication of an odontogenic infection. Med Oral Pathol Oral Cir Buccal 1: 398-401, 2009. – reference: 9) 吉永 馨：厚生省特定疾患「進行性腎障害」調査研究班業績報告書，1983. – reference: 10) Isenberg SF : International jugular vein thrombophlebitis. Ear Nose Throat J 77: 204-206, 1998. – reference: 4) Kumeda Y, Inaba M, et al : Increased thickness of the arterial intima-media detected by ultrasonography in patients with rheumatoid arthritis. Arthritis Rheum 46: 1489-1497, 2002. – reference: 6) Ross R: Atherosclerosis-an inflammatory disease. N Engl J Med 340: 115-126, 1999. – reference: 8) 深川智恵，古土井春吾，他：顎下部膿瘍からLemierre症候群に至ったと考えられた1例．日口外誌 56: 605-608, 2010. |
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| SubjectTerms | 下顎骨骨髄炎 咀嚼筋間隙膿瘍 嫌気性菌感染症 敗血症性血栓症 |
| Title | 内頸静脈血栓症を伴った咀嚼筋間隙膿瘍の1例 |
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