日本口腔診断学会雑誌
Online ISSN : 2188-2843
Print ISSN : 0914-9694
ISSN-L : 0914-9694
臨床報告
ビスフォスフォネート製剤投与患者の壊死骨に放線菌が感染し下顎骨骨髄炎へと進展したと疑われた1例
竹内 惇平尾古 俊哉古森 孝英
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ジャーナル フリー

2019 年 32 巻 1 号 p. 16-19

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Bisphosphonate-related osteonecrosis of the jaw is closely related to actinomycetes infection, and overseas reports have hypothesized that the occurrence of osteomyelitis is due to actinomycete infection in bisphosphonate-induced osteonecrosis.
We encountered a case where osteonecrosis in a patient, who had been administered bisphosphonates, progressed to osteomyelitis of the mandible due to actinomycete infection. Here we report this case and review the related literature. The patient underwent sequestrum removal and the wound was left open. After the surgery, the patient was administered AMPC 750mg/day for 2 months. Bone exposure was not observed 17 months after the surgery.
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© 2019 日本口腔診断学会
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