RESUMO
INTRODUCTION: Although tularemia is a long-known disease, its significance had diminished over the last decades in Middle Europe. However, over the past years, there is new evidence suggesting that tularemia has re-emerged in Germany. In 2007, the highest number of human cases for almost 50 years has been notified. Beside typical vectors, new ways of transmission seem to gain significance. So far, mosquito bite-transmitted tularemia has only been known from Scandinavia but not from Middle Europe. CASE REPORT: We report the first case of a 1-year-old toddler from Southwestern Germany with mosquito bite-associated ulceroglandular tularaemia. The new and interesting features of this case are the young age of the patient and the unusual transmission route. The available data suggesting changes in the epidemiology for tularemia in Germany are reviewed. This is an interesting case of infantile tularemia with a very unusual transmission route, highlighting ongoing changes in the epidemiology of tularemia in Germany.
Assuntos
Culicidae , Mordeduras e Picadas de Insetos/microbiologia , Insetos Vetores , Tularemia/transmissão , Abscesso , Animais , Alemanha , Humanos , Lactente , Mordeduras e Picadas de Insetos/diagnóstico , Mordeduras e Picadas de Insetos/patologia , Masculino , Testes Sorológicos , Tularemia/diagnóstico , Tularemia/patologiaAssuntos
Conservadores da Densidade Óssea/efeitos adversos , Difosfonatos/efeitos adversos , Sinusite Maxilar/complicações , Osteonecrose/complicações , Idoso , Neoplasias da Mama/terapia , Feminino , Humanos , Masculino , Doenças Maxilares/induzido quimicamente , Sinusite Maxilar/diagnóstico por imagem , Sinusite Maxilar/cirurgia , Pessoa de Meia-Idade , Osteonecrose/induzido quimicamente , Radiografia , Extração Dentária/efeitos adversos , Resultado do TratamentoRESUMO
Transposition of the mental nerve is a preprosthetic procedure that is effective for patients with hyperaesthesia caused by the effect of a dental prosthesis on the alveolar ridge. We present the case of a 74-year-old woman with pain and hyperaesthesia of the right inferior alveolar nerve caused by a dental prosthesis. Caudal transposition of the right mental nerve by piezosurgery resulted in postoperative neurosensory controls of the lower lip showing normal nerve function 2 months later.
Assuntos
Hiperestesia/cirurgia , Nervo Mandibular/cirurgia , Procedimentos Cirúrgicos Pré-Protéticos Bucais/métodos , Terapia por Ultrassom/métodos , Idoso , Perda do Osso Alveolar/etiologia , Perda do Osso Alveolar/cirurgia , Implantação Dentária Endóssea , Prótese Total Inferior/efeitos adversos , Feminino , Humanos , Hiperestesia/etiologia , Lábio/inervação , Procedimentos Cirúrgicos Pré-Protéticos Bucais/instrumentação , Recuperação de Função FisiológicaRESUMO
Arteriovenous malformation (AVM) of the mandible is not only a rare entity, but also one that can be potentially life threatening due to massive haemorrhage. The authors describe three cases of children with AVM of the mandible.
Assuntos
Malformações Arteriovenosas/patologia , Malformações Arteriovenosas/terapia , Embolização Terapêutica/métodos , Mandíbula/irrigação sanguínea , Adolescente , Malformações Arteriovenosas/diagnóstico por imagem , Criança , Feminino , Hemorragia/etiologia , Humanos , Masculino , Radiografia , RecidivaRESUMO
The radicular cyst is the most common odontogenic cyst. We present the case of a 51-year-old man with an extended recurrence of a radicular cyst of the mandible that was treated with marsupialization. Subsequently, an obturator was fitted, and in 10 months a resolution (clinically and radiographically) of the cystic cavity was noticed without any signs of recurrence. The marsupialization is a well-established, nonaggressive treatment of large odontogenic cysts and shows advantages in preserving vital structures, with reduced risk of pathological mandibular fractures. The patient, however, must be compliant and accept the prolonged treatment of marsupialization.