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SOAP-BACKGROUND (入院原因 (拔牙→蜂窩性組織炎→切開引流 (Antibiotics to prevent…
SOAP-BACKGROUND
入院原因
拔牙→蜂窩性組織炎→切開引流
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手術方式--嚼肌間隙和頷下空間-OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY
為什麼會感染
一篇case report是在顳下窩(拔上面的牙齒)感染,原因可能是牙醫治療時穿刺的血腫引起的感染,雖然病人不知道有沒有DM;
一開始接受過牙醫的口服ciprofloxacin&鴉片類止痛藥,但越來越嚴重,於是接受CT&MRI看到膿腫,於是引流後再給抗生素和NSAID,有明顯改善
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dm比較容易感染
Skin and Soft Tissue Infections and Associated Complications among Commercially Insured Patients Aged 0–64 Years with and without Diabetes in the U.S.
There are many reasons why persons with diabetes are felt to be
at increased risk for bacterial infections, such as SSTIs. These
include impaired leukocyte chemotaxis, adherence, and intracellular bacterial killing
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Infratemporal Space Infection Following Maxillary Third Molar Extraction in an Uncontrolled Diabetic Patient
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病程FOLLOW
等微生物培養報告結果
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口腔感染可能的菌種多為鏈球菌類
Streptococcus species are still the commonest
pathogen in orofacial infections of odontogenic origin.
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