류마티스 관절염이 있는 측두하악관절에서 유래된 두개내 및 악안면 농양 : 증례보고
Intracranial and maxillofacial abscesses originating from the temporomandibular joint with rheumatoid arthritis : A case report
박준, 홍기은, 윤지언, 신은섭, 김철훈, 김복주, 김정한,
소속 상세정보
박준 ( Park Jun ) - Dong-A University College of Medicine Department of Oral and Maxillofacial Surgery
홍기은 ( Hong Ki-Eun ) - Dong-A University College of Medicine Department of Oral and Maxillofacial Surgery
윤지언 ( Yun Ji-Eon ) - Dong-A University College of Medicine Department of Oral and Maxillofacial Surgery
신은섭 ( Shin Eun-Sup ) - Dong-A University College of Medicine Department of Oral and Maxillofacial Surgery
김철훈 ( Kim Chul-Hoon ) - Dong-A University College of Medicine Department of Oral and Maxillofacial Surgery
김복주 ( Kim Bok-Joo ) - Dong-A University College of Medicine Department of Oral and Maxillofacial Surgery
김정한 ( Kim Jung-Han ) - Dong-A University College of Medicine Department of Oral and Maxillofacial Surgery
Abstract
The incidence of intracranial brain abscess originating from the oral and maxillofacial infection is rare. However, brain abscesses have been reported in immunocompromised patients, which may cause neurological sequelae with high mortality. Early diagnosis of brain abscess and intensive antibiotic treatment can reduce the mortality rate. However, as a clinician, early diagnosis is difficult, and there are limitations in the use of antibiotics. Odontogenic infection can be diagnosed and treated early using clinical examination and dental radiographs. Although the temporomandibular joint is an area that dentists are in charge of, it is difficult to diagnose an infection, and there is a possibility that it may develop into a brain abscess. The purpose of this report is to review the case of temporomandibular joint infection and secondary maxillofacial and brain abscesses in a 61-year-old female patient with systemic rheumatoid arthritis, and to report the importance of prevention and early diagnosis of brain abscess as a clinician.
키워드
Brain abscess; temporomandibular joint infection; rheumatoid arthritis; vancomycin
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