A case of the actinomycosis of the jaw complicated with disseminated intravascular coagulation (DIC) accompanied by intestinal hemorrhage

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  • 顎放線菌症の治療中にDICおよび上部消化管出血を併発した一例
  • ガクホウ センキンショウ ノ チリョウチュウ ニ DIC オヨビ ジョウブ ショウカカン シュッケツ オ ヘイハツシタ イチレイ

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Abstract

Actinomycosis of the jaw, which is slightly rare disease at the oral and maxillofacial region, progress to the disseminated intravascular coagulation irregularly. Here, we report a rare case of the actinomycosis of the jaw complicated with disseminated intravascular coagulation (DIC) accompanied by intestinal hemorrhage. The patient was an 89-years-old woman who had the swelling of the left buccal region and lower-left mandibular gingiva. Above the findings of imaging and bacteriological examination, diagnosis of the actinomycosis of the jaw was made. During antibacterial treatment, her general condition deteriorated rapidly, and the blood test results met the diagnostic criteria of DIC. Moreover, the hematemesis and significant anemia developed during the intensive care, and endoscopy findings showed the hemorrhage at the greater curvature of stomach. Watchful general care should be needed during treatment actinomycosis of the jaw, in particular, affect the elderly.

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