由未诊断的常见可变免疫缺陷引起的口腔手术并发症:一个病例报告
Eleazar Mezaiko1, Lucas Teixeira Brito2, Barbara Luiza de Britto Cançado3
1Universidade Federal de Goiás, Goiânia, Brazil. eleazarmezaiko@gmail.com.
Oral and maxillofacial surgery
|December 12, 2024
概括
常见的可变免疫缺陷 (CVID) 诊断往往会延迟. 这一案例突出显示了第三骨摘取后的复发性感染中的CVID,强调了早期诊断和多学科护理,以获得更好的结果.
科学领域:
- 免疫学 免疫学 免疫学
- 口腔和牙面部外科手术
- 传染性疾病 传染性疾病
背景情况:
- 常见可变免疫缺陷 (CVID) 是一种主要免疫缺陷,通常是晚诊断的.
- 诊断延迟导致严重的健康,社会和经济负担.
- 复发性感染是CVID的一个标志.
研究的目的:
- 提出一种跨学科的方法来诊断和治疗CVID.
- 突出CVID作为在手术后感染的差异诊断.
- 强调多学科团队在管理CVID方面的重要性.
主要方法:
- 一个37岁的女性接受了第三牙提取的案例报告.
- 研究的复发性手术后感染对标准治疗无反应.
- 通过排除,低免疫球蛋白水平和过敏评估确认了CVID的诊断.
主要成果:
- 患者经历了持续的,无法解释的感染后,第三个牙的提取与骨固定.
- 在经过广泛的调查后,确立了CVID诊断.
- 通过去除固定硬件和启动免疫球蛋白替代疗法来实现解决.
结论:
- 在口腔手术后出现不明原因的复发性感染的患者中,应考虑CVID诊断.
- 早期诊断和干预对于缓解CVID并发症至关重要.
- 多学科的方法对于最佳的CVID患者管理至关重要.
相关概念视频
Immunodeficiency Diseases
903
Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency...
There are three main causes of immunodeficiency...
903
Tonsillitis II: Management
103
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
103
Barrett Esophagus-II: Clinical Manifestations and Management
104
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
104
Epistaxis
129
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
129
Inflammatory Bowel Disease V: Surgical Management
118
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
118
Tonsillitis I: Introduction
207
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
207


