A Case of Systemic Infection Caused by Streptococcus pyogenes Oral Infection in an Edentulous Patient.
A Case of Systemic Infection Caused by Streptococcus pyogenes Oral Infection in an Edentulous Patient.
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DOI：
10.3390/diseases5030017
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发表时间：
2017-08-18
期刊：
影响因子：
--
通讯作者：
Hoshi K
中科院分区：
文献类型：
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作者：
Inagaki Y;Abe M;Inaki R;Zong L;Suenaga H;Abe T;Hoshi K
背景：口腔颌面部的感染有时会扩展到口腔以外，造成严重后果。大多数口腔感染是牙源性的，通过牙齿的根尖或牙周袋发生。因此，无牙患者口腔细菌感染的风险要低得多。由于这个原因，虽然有许多关于口腔感染引起的全身感染的报道，但很少有报道描述无牙颌患者的感染。病例介绍：我们报告一位89岁的日本无牙女性，因化脓性链球菌感染引发口腔颌面部蜂窝组织炎并发败血症。S.在左侧上颌骨伤口和血液样本中检测到化脓性肉芽肿。S.据报道，化脓菌是与深颈感染和随后的全身感染相关的最常见和最有影响力的需氧菌之一。左上颌窦炎，这可能是起源的S。化脓性感染S.鼻窦炎的化脓性细菌可能透过口腔黏膜的创伤而流入口腔，导致全身感染。幸运的是，强化抗生素治疗是有效的，病人没有任何手术就康复了。结论：我们经历了一个罕见的情况下，口腔和颌面蜂窝织炎，其次是败血症由于化脓性链球菌感染的老年无牙妇女。这一结果表明，虽然无牙颌患者被认为没有牙源性感染的风险，但他们仍然存在细菌感染的风险。
Background: Infections in the oral and maxillofacial region can sometimes extend beyond the oral cavity, with serious consequences. Most oral infections are odontogenic, occurring through the root apex of the tooth or the periodontal pocket. It thus makes sense that edentulous patients have a much lower risk of oral bacterial infection. For this reason, while there are many reports on systemic infections caused by oral infections, few of these describe such infections in edentulous patients. Case presentation: We present a case of oral and maxillofacial cellulitis followed by sepsis due to Streptococcus pyogenes infection in an 89-year-old Japanese edentulous woman. S. pyogenes was detected in the wound of left maxilla and the blood sample. S. pyogenes has been reported to be one of the most common and influential aerobic bacteria associated with deep neck infection and subsequent systemic infection. Left maxillary sinusitis was observed, and this could be the origin of the S. pyogenes infection. S. pyogenes derived from the sinusitis and leaked to the oral cavity might have caused systemic infection through wounding of the oral mucosa. Fortunately, intensive antibiotic therapy was effective, and the patient recovered without any surgical procedures. Conclusions: We experienced a rare case of oral and maxillofacial cellulitis followed by sepsis due to a Streptococcus pyogenes infection in an old edentulous woman. This result indicated that, while edentulous patients are considered to have no risk of odontogenic infection, they still carry a risk of bacterial infection.