关键词: bacterial infections and mycoses case report/series incidental findings jaw destruction mandible post-COVID

Mesh : Humans COVID-19 SARS-CoV-2 Quality of Life Respiratory Aerosols and Droplets Osteomyelitis / diagnostic imaging etiology Mandible

来  源:   DOI:10.3290/j.qi.b4014521

Abstract:
COVID-19 is a serious global infectious disease impairing the quality of life of people across the world. SARS-CoV-2 may reside in nasopharyngeal and salivary secretions of COVID-19-infected patients and spreads mainly through respiratory droplets and fomites. It has presented a challenge to dentistry, as many dental procedures generate aerosols that could lead to cross-contamination. It also presents many post-infection complications that may continue to debilitate patients, even after successful management of the virus. One such complication may be osteomyelitis of the jaw. Two cases of post-COVID-19 osteomyelitis of the jaw are presented that were determined to be unrelated to mucormycosis in otherwise healthy individuals with no prior dental complaints. An attempt is made to shed light on clinical signs in post-COVID cases that may point to a diagnosis of the condition. The pathophysiology is also discussed, which may help in formulating guidelines to prevent and manage post-COVID osteomyelitis of the jaw.
摘要:
COVID-19是一种严重的全球性传染病,损害了世界各地人们的生活质量。SARS-CoV-2可能存在于COVID-19感染患者的鼻咽和唾液分泌物中,并主要通过呼吸道飞沫传播。它给牙科带来了挑战,因为许多牙科手术会产生可能导致交叉污染的气溶胶。它还会出现许多感染后的并发症,这些并发症可能会继续使患者衰弱,即使在成功控制病毒之后。一种这样的并发症可能是颌骨骨髓炎。出现了两例COVID-19后颌骨骨髓炎病例,这些病例被确定与其他健康个体的毛霉菌病无关,先前没有牙科疾病。试图阐明COVID后病例的临床症状,这些症状可能表明对该病的诊断。还讨论了病理生理学,这可能有助于制定预防和管理COVID后颌骨骨髓炎的指南。
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