A case of non-clostridial gas gangrene caused by antiresorptive agent-related osteonecrosis of the jaw
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- MATSUBARA Masakazu
- Department of Oral and Maxillofacial Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
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- ISHIDA Nobuhisa
- Department of Oral and Maxillofacial Reconstructive Surgery, Okayama University Hospital
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- IKEDA Atsushi
- Department of Oral and Maxillofacial Reconstructive Surgery, Okayama University Hospital
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- YAMACHIKA Eiki
- Department of Oral and Maxillofacial Reconstructive Surgery, Okayama University Hospital
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- AKASHI Sho
- Department of Oral and Maxillofacial Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
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- IIDA Seiji
- Department of Oral and Maxillofacial Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Department of Oral and Maxillofacial Reconstructive Surgery, Okayama University Hospital
Bibliographic Information
- Other Title
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- 骨吸収抑制薬関連顎骨壊死に由来した非クロストリジウム性ガス壊疽の1例
- ホネ キュウシュウ ヨクセイヤク カンレン ガッコツ エシ ニ ユライ シタ ヒクロストリジウムセイ ガス エソ ノ 1レイ
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Abstract
<p>Bisphosphonate-related osteonecrosis of the jaw (BRONJ) occurs in patients who are receiving bisphosphonate preparations, and the clinical features resemble both chronic osteomyelitis and osteonecrosis. Gas gangrene, on the other hand, is rapidly progressive and complicated by sepsis or disseminated intravascular coagulopathy (DIC) and has a very poor prognosis. Gas gangrene more commonly occurs in the extremities, and rare develops in the head and neck region. We describe a 97-year-old woman who presented to our clinic with painful swelling in the buccal region associated with unhealed extraction sockets of the left mandibular canine and first premolar of 2 months duration. Intraorally, there were open extraction sockets of the mandibular left canine and first premolar, associated with bone exposure, purulent discharge, and a sinus track through the cheek. BRONJ with gas gangrene was diagnosed. The patient was hospitalized immediately and underwent surgical drainage and antibiotic treatment. The surgical management was uneventful. The skin defect spontaneously closed 1 month after surgery.</p>
Journal
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- Japanese Journal of Oral and Maxillofacial Surgery
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Japanese Journal of Oral and Maxillofacial Surgery 63 (10), 506-511, 2017
Japanese Society of Oral and Maxillofacial Surgeons
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Details 詳細情報について
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- CRID
- 1390282681509857792
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- NII Article ID
- 130006258028
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- NII Book ID
- AN00189163
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- ISSN
- 21861579
- 00215163
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- NDL BIB ID
- 028648997
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
- KAKEN
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- Abstract License Flag
- Disallowed