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1.
J Dent Child (Chic) ; 84(2): 90-96, 2017 May 15.
Article in English | MEDLINE | ID: mdl-28814369

ABSTRACT

Leiomyoma is a benign tumor of the smooth muscle that rarely occurs in the mouth as an intraosseous lesion. The purposes of this paper are to: (1) present a case of an intraosseous solid leiomyoma of the mandible in a 13-year-old child, who presented with a well-defined unilocular radiolucency in the right mandible incidentally discovered during a routine dental radiographic examination; and (2) conduct a review of the literature to describe clinicopathological features and management of intraosseous jaw leiomyoma (IJL). A total of 17 articles describing 18 cases of IJL satisfied the selection criteria; including the present patient, to date a total of 19 cases of IJL have been reported. IJL occurs mainly in young patients (36.8 percent), more often in boys (1:5:1 male-to-female ratio), and reaches a larger size in children than in adults. The treatment of choice for IJL is surgical excision, which should be as minimally invasive as possible, especially in children.


Subject(s)
Leiomyoma/diagnostic imaging , Mandibular Neoplasms/diagnostic imaging , Adolescent , Humans , Leiomyoma/pathology , Leiomyoma/surgery , Male , Mandibular Neoplasms/pathology , Mandibular Neoplasms/surgery , Radiography, Panoramic , Tomography, X-Ray Computed
2.
Med Oral Patol Oral Cir Bucal ; 12(5): E394-6, 2007 Sep 01.
Article in English | MEDLINE | ID: mdl-17767106

ABSTRACT

The first publication on Lemierre Syndrome appears in 1936 by Lemierre. It is defined as an "oropharynx bacterial infection characterized by the thrombophlebitis in the internal jugular vein, derived in a systemic septic embolism". In 81% of the cases, the Fusobacterium necrophorum is the most frequent etiologic agent. Fever is the most common symptom, but it can depending on the primary infection, tonsillitis, mastoiditis or odontogenic infection. According to the literature the mortality is very low, but with a significant morbidity, that is why the diagnosis and early treatment is very important. The diagnosis it's clinical, even though the CT scan and other diagnosis methods (echography, MRI) help to determine the extent of the infection. It's necessary to administer the antibiotics endovenous at high dose, (keeping in mind that the most frequent micro organism is anaerobic), and vital support measures if necessary. We present a case report of Lemierre Syndrome associated to an odonthogenic infection caused by the 4.8 molar.


Subject(s)
Bacteroides Infections , Bacteroides fragilis , Jugular Veins , Streptococcal Infections , Streptococcus intermedius , Thrombophlebitis/microbiology , Tooth Diseases/complications , Tooth Diseases/microbiology , Adult , Bacteroides Infections/diagnostic imaging , Bacteroides Infections/therapy , Humans , Male , Radiography , Streptococcal Infections/diagnostic imaging , Streptococcal Infections/therapy , Syndrome , Thrombophlebitis/diagnostic imaging , Thrombophlebitis/therapy
3.
Med. oral patol. oral cir. bucal (Internet) ; 12(5): E394-E396, sept. 2007. ilus
Article in En | IBECS | ID: ibc-056873

ABSTRACT

La primera publicación de Síndrome de Lemierre fue en 1936 por Lemierre. Se define como una “infección bacteriana orofaríngea que se caracteriza por la tromboflebitis de la vena yugular interna, complicándose con embolismos sépticos sistémicos”. El 81% de los casos, el agente etiológico más frecuente es Fusobacterium necrophorum. La fiebre suele ser el síntoma más frecuente, pero dependiendo de la infección primaria, ya sea amigdalitis, mastoiditis o infección odontógena. La mortalidad es muy baja según la literatura, pero con una morbilidad significativa, por eso es muy importante el diagnóstico y tratamiento precoz. El diagnóstico es clínico, aunque la TC y otros métodos diagnósticos (ecografía, RM) ayudar a determinar la extensión de la infección. Es necesaria la administración de antibióticos por vía endovenosos a dosis máxima, recordando que el microorganismo más frecuente es anaeróbico, y unas medidas de soporte vital. Presentamos un caso clínico de Síndrome de Lemierre asociado a una infección odontógena por causa del molar 4.8


The first publication on Lemierre Syndrome appears in 1936 by Lemierre. It is defined as an “oropharynx bacterial infection characterized by the thrombophlebitis in the internal jugular vein, derived in a systemic septic embolism”. In 81% of the cases, the Fusobacterium necrophorum is the most frequent etiologic agent. Fever is the most common symptom, but it can depending on the primary infection, tonsillitis, mastoiditis or odontogenic infection. According to the literature the mortality is very low, but with a significant morbidity, that is why the diagnosis and early treatment is very important. The diagnosis it´s clinical, even though the CT scan and other diagnosis methods (echography, MRI) help to determine the extent of the infection. It’s necessary to administrate the antibiotics endovenous at high dose, (keeping in mind that the most frequent micro organism is anaerobic), and vital support measures if neccessary. We present a case report of Lemierre Syndrome associated to an odonthogenic infection caused by the 4.8 molar


Subject(s)
Male , Adult , Humans , Oropharynx/microbiology , Jugular Veins/injuries , Thrombophlebitis/physiopathology , Fusobacterium Infections/microbiology , Fusobacterium necrophorum/pathogenicity , Pulmonary Embolism , Focal Infection, Dental/complications
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