歯性感染が原因と思われた若年者の感染性心内膜炎の１例

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  • A case of infective endocarditis caused by odontogenic infection
  • シセイ カンセン ガ ゲンイン ト オモワレタ ジャクネンシャ ノ カンセンセイ シン ナイ マクエン ノ 1レイ

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A 28-year-old male with infective endocarditis (I.E.) caused by odontogenic infection is reported. The patient was admitted to a hospital for the treatment of cerebral infarction. On admission, he had a heart murmur and vegetation of the mitral valve. He was referred to the cardiovascular division of the university hospital and consulted our division chiefly concerning I. E.<BR>The clinical and radiographic examination showed a maxillary cyst, some apical periodontitis, some marginal periodontitis and multiple dental carious teeth. CRP value decreased gradually into the normal range after extraction of those teeth and a cystectomy. His infected mitral valve was successfully replaced with a prosthetic valve. The patient is now free from the symptoms with a good functional value.

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