下顎骨骨折に継発したMRSA骨髄炎の1例

  • 林 常敏
    掛川市立総合病院歯科口腔外科
  • 猟山 大
    掛川市立総合病院歯科口腔外科
  • 藤内 祝
    名古屋大学大学院医学系研究科頭頸部感覚器外科学講座顎顔面外科学
  • 上田 実
    名古屋大学大学院医学系研究科頭頸部感覚器外科学講座顎顔面外科学

書誌事項

タイトル別名
  • A case of MRSA osteomyelitis of the mandible that occurred after fracture
  • ショウレイ ホウコク カガクコツ コッセツ ニ ケイハツシタ MRSA コツズイエン ノ 1レイ

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抄録

A case of methicillin-resistantStaphylococcus aureus (MRSA) osteomyelitis arising in the mandible secondary to a fracture is presented. A 16-year-old boy was transported to our hospital after a traffic accident. Clinical examination revealed that he had suffered multiple trauma, including a mandibular fracture. After intensive treatment by brain surgeons for 2 weeks, open reduction and fixation of the mandible were performed. About 3 weeks after surgery, an abscess had formed on the surgical wound, and microbial culture yielded MRSA. A bony abnormality was detected on computed tomography. The patient received Teicoplanin (TEIC) and sequestrectomy was performed. Histopathological findings of the excised bone were consistent with osteomyelitis. After observation for a month, a bone graft was performed. MRSA was not detected in bone specimes obtained at the time of surgery. No recurrence has been noted as of 1 year after the last operation.

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