关键词: Case report coronavirus disease 2019 (COVID-19) geriatrics oral health ulcer

来  源:   DOI:10.21037/acr-23-158   PDF(Pubmed)

Abstract:
UNASSIGNED: The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) at the end of 2019 caused the global pandemic. Oral and dermatological manifestations of coronavirus disease 2019 (COVID-19) such as xerostomia, aphthous-like lesions, ulcers, tongue depapillation, necrotizing gingivitis, and taste disorders, including the loss of taste and salivary gland infections are being reported. This study aims to describe a case of oral ulcers following COVID-19 infection.
UNASSIGNED: We present the case of a 95-year-old male patient hospitalized in follow-up care and rehabilitation unit, of Minimes Geriatric Clinic, Toulouse, France. He had an alteration in his general health in the context of COVID-19 infection detected by reverse transcription polymerase chain reaction (RT-PCR). Six days after the admission, the patient complained of a strong burning sensation of the mouth, especially on the tongue and the lips\' mucosa. Intraoral examination revealed painful erosive areas on the lateral edges of the tongue and the mucous side of the lower lip. The proposed treatment to reduce the burning sensation was based on general analgesics (morphine sulfate), mouthwash with sodium bicarbonate, the application of a lidocaine-based oral anesthetic and healing gel and a comfort-oriented diet. Thirteen days later, the patient reported a gradual improvement.
UNASSIGNED: A diverse range of oral manifestations has been observed in patients with a history of COVID-19 infection. These oral ulcers significantly impact the quality of life of the individual, causing intense pain, stress, and difficulties in eating, with repercussions on nutritional status, especially in older individuals. Our case underscores the importance of oral examinations and the role of dentists in the management of patients with SARS-CoV-2.
摘要:
2019年底严重急性呼吸道综合症冠状病毒2(SARS-CoV-2)的出现引起了全球大流行。2019年冠状病毒病(COVID-19)的口腔和皮肤病学表现,如口干症,口疮样病变,溃疡,舌头脱毛,坏死性牙龈炎,和味觉障碍,据报道,包括味觉丧失和唾液腺感染。这项研究旨在描述一例COVID-19感染后口腔溃疡的病例。
我们介绍了一名95岁男性患者在后续护理和康复病房住院的情况,Minimes老年诊所,图卢兹,法国。在逆转录聚合酶链反应(RT-PCR)检测到COVID-19感染的情况下,他的一般健康状况发生了变化。入院六天后,病人抱怨口腔有强烈的灼烧感,尤其是在舌头和嘴唇粘膜上。口内检查显示舌头的侧边缘和下唇的粘液侧疼痛的糜烂区域。减少灼烧感的拟议治疗基于一般镇痛药(硫酸吗啡),用碳酸氢钠漱口水,以利多卡因为基础的口服麻醉药和愈合凝胶以及舒适饮食的应用。十三天后,患者报告病情逐渐好转.
在有COVID-19感染史的患者中观察到各种口腔表现。这些口腔溃疡显著影响个体的生活质量,引起剧烈的疼痛,压力,和吃饭的困难,对营养状况有影响,尤其是老年人。我们的案例强调了口腔检查的重要性以及牙医在SARS-CoV-2患者管理中的作用。
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