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首页> 外文期刊>Journal of Clinical Medicine and Research >Primary oral tuberculosis following dental extraction in a patient undergoinghemodialysis: A case report
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Primary oral tuberculosis following dental extraction in a patient undergoinghemodialysis: A case report

机译：血液透析患者拔牙后原发性口腔结核：一例报告

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Primary oral tuberculosis after dental extraction is almost non-existent, and there is very little data on its clinical, pathological and radiological features. A 34 year-old Turkish man in good condition was treated with known chronic renal failure due to hypertension and who had been undergoing maintenance hemodialysis, 3 times a week for 3 months. He presented with swelling of the submental region following two teeth extractions diagnosed as teeth abscesses. Following the biopsies from the lesions, the histopathological findings, an analysis of the positive culture, demonstrated?mycobacterial?cord factor and polymerase chain reaction response to the?Mycobacterium?confirmed primary oral tuberculosis after dental extraction. The patient had no evidence of tuberculosis anywere else in his body. Medical and periodontal treatment were curative. This case highlights the importance of considering tuberculosis because of (1) the rarity of primary oral tuberculosis after dental extraction, (2), the presence of the?Mycobacterium?cord factor is considered as a virulence factor in the?Mycobacterium tuberculosis, (3) the patient’s being young and in good condition displayed a favourable response to anti-tubercular and periodontal treatment.
机译：拔牙后原发性口腔结核几乎不存在，关于其临床，病理和放射学特征的数据很少。一名状况良好的34岁土耳其男子因高血压而患有已知的慢性肾功能衰竭，并接受维持性血液透析，每周3次，共3个月。在出现两次被诊断为牙齿脓肿的牙齿拔除后，他出现了下颌骨区域的肿胀。在对病变进行活检后，组织病理学发现，对阳性培养物的分析表明，在拔牙后，分枝杆菌脐带因子和聚合酶链反应对分枝杆菌的确诊为原发性口腔结核。该患者体内没有其他结核病迹象。药物和牙周治疗均有效。该案例强调了考虑结核病的重要性，因为（1）拔牙后原发性口腔结核的罕见性;（2）分枝杆菌cord因子的存在被认为是结核分枝杆菌的致病因子，（3 ）患者年轻且状况良好，对抗结核和牙周治疗表现出良好的反应。

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