ID | 66763 |
フルテキストURL | |
著者 |
Matsuo, Chie Nakago
Okayama University
Matsuo, Nobuhiko
Okayama University
Mori, Ayano
Nagashima Hospital
Murakami, Masaaki
Okayama Heart Clinic
Ito, Hiroshi
Okayama University
Kaken ID
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抄録 | Periodontal diseases are well-known background for infective endocarditis. Here, we show that pericardial effusion or pericarditis might have origin also in periodontal diseases. An 86-year-old man with well-controlled hypertension and diabetes mellitus developed asymptomatic increase in pericardial effusion. Two weeks previously, he took oral new quinolone antibiotics for a week because he had painful periodontitis along a dental bridge in the mandibular teeth on the right side and presented cheek swelling. The sputum was positive for Streptococcus species. He was healthy and had a small volume of pericardial effusion for the previous 5 years after drug-eluting coronary stents were inserted at the left anterior descending branch 10 years previously. The differential diagnoses listed for pericardial effusion were infection including tuberculosis, autoimmune diseases, and metastatic malignancy. Thoracic to pelvic computed tomographic scan demonstrated no mass lesions, except for pericardial effusion and a small volume of pleural effusion on the left side. Fluorodeoxyglucose positron emission tomography disclosed many spotty uptakes in the pericardial effusion. The patient denied pericardiocentesis, based on his evaluation of the risk of the procedure. He was thus discharged in several days and followed at outpatient clinic. He underwent dental treatment and pericardial effusion resolved completely in a month. He was healthy in 6 years until the last follow-up at the age of 92 years. We also reviewed 8 patients with pericarditis in association with periodontal diseases in the literature to reveal that periodontal diseases would be the background for developing infective pericarditis and also mediastinitis on some occasions.
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キーワード | pericardial effusion
pericarditis
periodontitis (periodontal disease)
positron emission tomography
Streptococcus
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発行日 | 2024-03-19
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出版物タイトル |
Journal of Investigative Medicine High Impact Case Reports
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巻 | 12巻
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出版者 | SAGE Publications
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ISSN | 2324-7096
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資料タイプ |
学術雑誌論文
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言語 |
英語
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OAI-PMH Set |
岡山大学
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著作権者 | © 2024 American Federation for Medical Research.
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論文のバージョン | publisher
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PubMed ID | |
DOI | |
Web of Science KeyUT | |
関連URL | isVersionOf https://doi.org/10.1177/23247096241239559
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ライセンス | https://creativecommons.org/licenses/by-nc/4.0/
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Citation | Matsuo T, Matsuo CN, Matsuo N, Mori A, Murakami M, Ito H. Pericardial Effusion in Association With Periodontitis: Case Report and Review of 8 Patients in Literature. Journal of Investigative Medicine High Impact Case Reports. 2024;12. doi:10.1177/23247096241239559
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