口腔症状よりムコール症を発見しえた急性骨髄性白血病患者の1例
As perioperative oral functional management has been covered by national health insurance since fiscal 2012 in Japan, these services have been provided in the Department of Oral and Maxillofacial Surgery, Hamamatsu Medical Center. We report a case of mucormycosis developing in the oral cavity during...
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| Published in | 日本口腔外科学会雑誌 Vol. 61; no. 10; pp. 539 - 542 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
社団法人 日本口腔外科学会
20.10.2015
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-5163 2186-1579 |
| DOI | 10.5794/jjoms.61.539 |
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| Abstract | As perioperative oral functional management has been covered by national health insurance since fiscal 2012 in Japan, these services have been provided in the Department of Oral and Maxillofacial Surgery, Hamamatsu Medical Center. We report a case of mucormycosis developing in the oral cavity during the perioperative oral functional management of a patient with acute myeloid leukemia who underwent bone marrow transplantation. Rhinocerebral mycosis usually arises in the nasal cavity, paranasal sinuses, or oculus. In our patient, discoloration of the maxillary gingiva was the first symptom, and only oral findings were useful for diagnosis. Patients receiving perioperative oral functional management are compromised and at risk for rare infectious diseases. In conclusion, we recognize that it is very important to manage oral function in perioperative patients not only for the maintenance of oral function, but also for the early detection of oral abnormalities. |
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| AbstractList | As perioperative oral functional management has been covered by national health insurance since fiscal 2012 in Japan, these services have been provided in the Department of Oral and Maxillofacial Surgery, Hamamatsu Medical Center. We report a case of mucormycosis developing in the oral cavity during the perioperative oral functional management of a patient with acute myeloid leukemia who underwent bone marrow transplantation. Rhinocerebral mycosis usually arises in the nasal cavity, paranasal sinuses, or oculus. In our patient, discoloration of the maxillary gingiva was the first symptom, and only oral findings were useful for diagnosis. Patients receiving perioperative oral functional management are compromised and at risk for rare infectious diseases. In conclusion, we recognize that it is very important to manage oral function in perioperative patients not only for the maintenance of oral function, but also for the early detection of oral abnormalities. |
| Author | 鈴木, 晶子 野町, 晃彦 滝沢, 茂太 蓜島, 桂子 内藤, 克美 内藤, 慶子 |
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| References | 2) 露無圭子， 中谷 綾， 他：急性前骨髄球性白血病の寛解導入療法中に急速な視力低下で発症した鼻脳型ムコール症．内科 109: 178-180, 2012. 6) 妹尾日登美， 濱田 傑， 他：上顎骨腐骨形成をきたしたムコール症−急性白血病に随伴した1例−．日口外誌 46: 280-282, 2000. 7) 渡邊裕之， 織田 元， 他：歯性上顎洞炎に継発したと疑われた鼻脳型ムコール症の1例．愛院大歯誌 46: 521-525, 2008. 8) Lehrer RI, Howard DH, et al : Mucormycosis. Ann Intern Med 93: 93-108, 1980. 3) 竹居いずみ， 大月佳代子， 他：上顎洞真菌症の1例．口科誌 41: 164-168, 1992. 1) 渡辺一功， 大島弘子， 他：深在性真菌症の多彩な臨床像 ムコール真菌症の臨床像．内科 94: 902-904， 2004. 5) 川上譲治， 武藤壽孝， 他：上顎洞ムコール症の1例．日口外誌 44: 592-594, 1998. 9) 太田伸男， 鈴木祐輔：浸潤型副鼻腔真菌症 最新の知見．日耳鼻 116: 581-585, 2013. 4) 高橋由美子， 柳澤高道， 他：上顎洞に見られたムコール症と思われる1例．日口外誌 39: 61-63, 1993. 10) 槇村浩一：病原体−宿主応答の視点からみた真菌感染症 接合真菌症 （ムコール症）．臨床と微生物 34: 719-722, 2007. 11) 蓜島桂子， 内藤克美， 他：浜松医療センター病棟看護師の口腔ケアに関するアンケート調査．浜松医療センター学術誌 7: 20-23, 2013. |
| References_xml | – reference: 4) 高橋由美子， 柳澤高道， 他：上顎洞に見られたムコール症と思われる1例．日口外誌 39: 61-63, 1993. – reference: 7) 渡邊裕之， 織田 元， 他：歯性上顎洞炎に継発したと疑われた鼻脳型ムコール症の1例．愛院大歯誌 46: 521-525, 2008. – reference: 9) 太田伸男， 鈴木祐輔：浸潤型副鼻腔真菌症 最新の知見．日耳鼻 116: 581-585, 2013. – reference: 10) 槇村浩一：病原体−宿主応答の視点からみた真菌感染症 接合真菌症 （ムコール症）．臨床と微生物 34: 719-722, 2007. – reference: 11) 蓜島桂子， 内藤克美， 他：浜松医療センター病棟看護師の口腔ケアに関するアンケート調査．浜松医療センター学術誌 7: 20-23, 2013. – reference: 2) 露無圭子， 中谷 綾， 他：急性前骨髄球性白血病の寛解導入療法中に急速な視力低下で発症した鼻脳型ムコール症．内科 109: 178-180, 2012. – reference: 3) 竹居いずみ， 大月佳代子， 他：上顎洞真菌症の1例．口科誌 41: 164-168, 1992. – reference: 1) 渡辺一功， 大島弘子， 他：深在性真菌症の多彩な臨床像 ムコール真菌症の臨床像．内科 94: 902-904， 2004. – reference: 8) Lehrer RI, Howard DH, et al : Mucormycosis. Ann Intern Med 93: 93-108, 1980. – reference: 5) 川上譲治， 武藤壽孝， 他：上顎洞ムコール症の1例．日口外誌 44: 592-594, 1998. – reference: 6) 妹尾日登美， 濱田 傑， 他：上顎骨腐骨形成をきたしたムコール症−急性白血病に随伴した1例−．日口外誌 46: 280-282, 2000. |
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| Title | 口腔症状よりムコール症を発見しえた急性骨髄性白血病患者の1例 |
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