스팔가노시스 감염에 의한 하악골 만성 골수염
An Intraosseous Sparganosis with Chronic Osteomyelitis in Mandible
이상신, 박용태, 김선진, 이상운, 박정민, 김지혁, 권광준, 박영욱, 최항문, 김연숙, 이석근,
소속 상세정보
이상신 ( Lee Sang-Shin ) - 강릉원주대학교 치과대학 구강병리학교실
박용태 ( Park Yong-Tae ) - 강릉원주대학교 치과대학 구강병리학교실
김선진 ( Kim Sun-Jin ) - 강릉원주대학교 치과대학 구강병리학교실
이상운 ( Lee Sang-Woon ) - 강릉원주대학교 치과대학 구강악안면외과학교실
박정민 ( Park Jung-Min ) - 강릉원주대학교 치과대학 구강악안면외과학교실
김지혁 ( Kim Ji-Hyuck ) - 강릉대학교 치과대학 구강악안면외과학교실
권광준 ( Kwon Kwang-Joon ) - 강릉대학교 치과대학 구강악안면외과학교실
박영욱 ( Park Young-Wook ) - 강릉원주대학교 치과대학 구강악안면외과학교실
최항문 ( Choi Hang-Moon ) - 강릉원주대학교 치과대학 구강악안면방사선학교실
김연숙 ( Kim Yeon-Sook ) - 청주대학교 치과대학 치위생학과
이석근 ( Lee Suk-Keun ) - 강릉원주대학교 치과대학 구강병리학교실
KMID : 0829220090330030175
Abstract
Although the sparganosis involving soft tissues, i.e, tongue, cheek, etc., has been frequently reported, the mandibular involvement of sparganosis is not reported up to date. We present a case of intraosseous sparganosis involving whole mandible, which was clinically diagnosed as chronic osteomyelitis. After surgical operation of saucerization for the treatment of chronic osteomyelitis the removed specimens were pathologically examined and finally turned out intraosseous sparganosis. Radiological findings showed irregular multiple radiolucencies in round to ovoid shape throughout both mandibular body areas, of which peripheral rarefying radiopacity was less remarkable compared to the ordinary osteomyelitis. However, the radiolucencies of periapical granuloma, #34-36, were closely associated with the osteolytic lesions of mandibular body. Pathological examination showed a tunnel like space for the passage of sparganum larva, and heavy infiltration of eosinophilicleukocytes. And more, the parasitic tegument materials were found admixed with eggs in the granulomatous lesion, which were gradually degraded and resolved. Taken together, we presumed that the mandibular inflammatory lesion was primarily involved with sparganosis and secondarily aggravated by the periapical infection of #34-36.
키워드
Sparganosis;Chronic;Osteomyelitis;Mandible
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