ID | 51070 |
JaLCDOI | |
フルテキストURL | |
著者 |
Shiota, Yutaro
Department of Respiratory Diseases, Kure Kyosai Hospital
Taniguchi, Akihiko
Department of Hematology, Oncology, and Respiratory Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Kaken ID
Yuzurio, Syota
Department of Respiratory Diseases, Kure Kyosai Hospital
Horita, Naokatsu
Department of Respiratory Diseases, Kure Kyosai Hospital
Hosokawa, Shinobu
Department of Respiratory Diseases Okayama Red Cross General Hospital
Watanabe, Yoichi
Department of Respiratory Diseases Okayama Red Cross General Hospital
Tohmori, Hidetoshi
Department of Dentistry and Oral Surgery, Kure Kyosai Hospital
Ono, Tetsuya
Department of Internal Medicine, Kure Kyosai Hospital
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抄録 | Dental infection can be an important source for septic pulmonary embolism (SPE), but only a few cases of SPE accompanying dental infection have been reported. The aim of this study was to characterize the clinical features of SPE induced by dental infection. Patients who fulfilled the diagnostic criteria described in the text were recruited in a retrospective fashion. All 9 patients were men, with a median age of 59 years (range:47 to 74 years). Eight patients had chest pain (88.9%), 5 had a preceding toothache (55.6%) and 3 had preceding gingival swelling (33.3%). Blood cultures obtained from 7 patients were negative. Periodontitis was found in all of the cases, periapical periodontitis in 5 cases, and gingival abscess in 3 cases. The median duration of hospitalization was 15 days, and symptoms were mild in some cases. In addition to antimicrobial therapy, tooth extraction was performed in 3 cases, tooth scaling in 6. SPE induced by dental infection has prominent clinical characteristics such as male preponderance, chest pain, preceding toothache, and mild clinical course.
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キーワード | bacteremia
chest pain
multiple nodular shadows
periodontitis
septic pulmonary embolism
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Amo Type | Original Article
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出版物タイトル |
Acta Medica Okayama
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発行日 | 2013-08
|
巻 | 67巻
|
号 | 4号
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出版者 | Okayama University Medical School
|
開始ページ | 253
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終了ページ | 258
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ISSN | 0386-300X
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NCID | AA00508441
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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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著作権者 | CopyrightⒸ 2013 by Okayama University Medical School
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論文のバージョン | publisher
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査読 |
有り
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PubMed ID | |
Web of Science KeyUT |