1 0 0 0 OA 歯科処置ならびに口腔疾患との関連が疑われた感染性心内膜炎患者の検討
- 著者
- 福元 俊輔 吉川 博政 樋口 崇 吉田 将律 杉 幸祐 山本 千佳
- 出版者
- 社団法人 日本口腔外科学会
- 雑誌
- 日本口腔外科学会雑誌 (ISSN:00215163)
- 巻号頁・発行日
- vol.56, no.5, pp.336-340, 2010-05-20 (Released:2013-10-19)
- 参考文献数
- 9
We retrospectively studied of 20 patients who were admitted to the department of cardiovascular internal medicine of our hospital between January 2001 and March 2007 for a diagnosis of infective endocarditis. On blood cultures, oral bacteria were detected in 9 patients. Furthermore, 10 of the 20 patients visited our department. We examined the correlation of dental treatments and oral diseases with infective endocarditis in the 10 patients. The results of the blood cultures suggested correlations of dental treatments or oral diseases with infective endocarditis in 4 patients. Two patients had oral infections, while the other 2 had undergone dental treatment within 2 weeks before the onset of infective endocarditis. Currently, there are two different guidelines (AHA2007 and JCS2008) for the prevention of infective endocarditis. As stated in the JCS2008 guidelines, we believe that, it is necessary to carefully administer prophylactic antibacterial drugs to patients undergoing dental treatments. In addition, we also believe that it is necessary to improve oral hygiene conditions to prevent infective endocarditis associated with dental treatments or oral diseases.
1 0 0 0 OA 歯性感染に継発した重篤な頸部蜂窩織炎の2症例
- 著者
- 吉川 博政 大石 正道 樋口 勝規
- 出版者
- Japanese Society of Oral and Maxillofacial Surgeons
- 雑誌
- 日本口腔外科学会雑誌 (ISSN:00215163)
- 巻号頁・発行日
- vol.36, no.2, pp.331-336, 1990-02-20 (Released:2011-07-25)
- 参考文献数
- 18
Two cases with severe cervical cellulitis which originated from the odontogenic infection were reported.Case 1 was a 48-year-old male who underwent extraction of the right lower third molar while it had acute infection. The inflammation promptly extended to the floor of the mouth, submandibular space and right cervical region.Case 2 was a 62-year-old male who had a past history of heart infarction. Although he had been receiving an antibiotic therapy for the apical periodontitis of the left lower second molar from his dentist, it soon progressed through parapharyngeal abscess to the bilateral cervical cellulitis and finally mediastinitis.The extended lesions of both cases could only be managed by wide ranges of curettage and drainage through extended incisions over the neck.