著者

鈴木 円 田中 章夫 菊池 建太郎 草間 薫 鈴木 正二 坂下 英明

出版者

日本小児口腔外科学会

雑誌

小児口腔外科 (ISSN:09175261)

巻号頁・発行日

vol.20, no.1, pp.54-57, 2010-06-25 (Released:2014-07-18)

参考文献数

10

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Cat-scratch disease (CSD) is a zoonosis characterized by lymphadenopathy in a patient with a history of cat contact. CSD is caused by Bartonella henselae infection and is a common cause of regional lymphadenopathy. The manifestations include erythema or papules at the site of injury and regional lymphadenitis in the initial stage of infection.   We report the case of a seven-year-old boy who presented with swelling of the buccal. CT showed extensive lymphadenopathy in multiple lymph nodes in the buccal and submandiblar regions. He had a history of contact with cats. Serologic examinations for IgG and IgM titers to Bartonella henselae were performed by an indirect fluorescence assay. This assay revealed positive serum antibody titers for Bartonella henselae.   On the basis of these results, CSD was diagnosed, and the patient was given an antibiotic for 14 days. After that, the patient recovered, with no recurrence.

著者

重松 久夫 加賀谷 雅之 浜尾 綾 田中 綾 鈴木 正二 坂下 英明 奥村 泰彦

出版者

特定非営利活動法人 日本口腔科学会

雑誌

日本口腔科学会雑誌 (ISSN:00290297)

巻号頁・発行日

vol.49, no.2, pp.57-61, 2000-03-10 (Released:2011-09-07)

参考文献数

17

被引用文献数

2

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This article describes the incidence of mineralization in the stylohyoid ligament complex (SLC) in a sample of the patient population of the Meikai University School of Dentistry. The age of the patients ranged from 3 to 89 years, and a total of 800 orthopantomographs of the patients were analyzed. There was a sharp increase in mineralization during the first three decades of life, from 38% in the first decade to 90.5% in the third. No relationship could be established between the extent of mineralization and increasing patient age thereafter. The SLC could be detected in 93.8% of the adult patients who were over 20 years of age. The results suggest that orthopantomography is one of the best methods to observe the SLC. A classification of the radiographic appearance of the SLC based on three types of complexes -type A: normal type B: elongated and type C: very elongated- is proposed. According to the classification, among adult patients, type A represented 73.9% type B 18.7% and type C 1.2%. Among all patients, the incidence of elongated SLC was 19.9%. This classification is easy and useful to diagnose an elongated SLC clinically.

著者

江田 哲 鈴木 円 重松 久夫 馬越 誠之 浜尾 綾 須賀 則幸 鈴木 正二 坂下 英明

出版者

一般社団法人 日本有病者歯科医療学会

雑誌

有病者歯科医療 (ISSN:09188150)

巻号頁・発行日

vol.13, no.2, pp.89-94, 2004

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習慣性顎関節脱臼に対する外科的治療法にはさまざまな方法がある. 患者・家族・担当医らの要望, 年齢, 全身状態などを配慮して, 最適な治療法が選択されるべきである. 今回われわれは, 超高齢者の両側習慣性顎関節脱臼に対して観血的治療を行ったので報告する. 患者は91歳, 男性. 閉口不能を主訴に東邦病院歯科口腔外科を受診した. 両側顎関節前方脱臼の臨床診断にてHippocrates法による整復を行ったが, その後も脱臼をくり返した. そのため局所麻酔下にBuckley-Terry法に準じた両側顎関節前方障害形成術を施行した. 術後1か月間再発はみられなかったが, 老衰のために死去した.