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作者报道了首例与牙脓肿有关的创伤型肉毒中毒,并对美国1943～1990年间文献报告和上报疾病控制和预防中心(CDC:亚特兰大)的47例经实验室确定为创伤型肉毒中毒患者进行了复习。 患儿男,5岁。1991年8月左下后乳磨牙疼痛。口腔科医生确定为龋洞,将其充填。10月中旬牙痛复发,检查见龋变扩大,继发感染,遂行去腐处理,放置临时充填物。2天后仍疼痛,经口服红霉素、先锋霉索Ⅳ治疗后肿胀有所消退。11月中旬,去除充填物,行脓肿引流。
The authors reported the first traumatic botulism associated with dental abscess and reported 47 reported laboratory-confirmed cases of traumatic botulism in the United States from 1943 to 1990 and reported to the Centers for Disease Control and Prevention (CDC: Atlanta) The patient was reviewed. Children male, 5 years old. Lower back in August 1991 after the deciduous teeth pain. Stomatologists identified cavities filling them. Toothache recurrence in mid-October, check the caries to see the expansion, secondary infection, go to the decadent, temporary fillings placed. 2 days after the pain is still, after oral administration of erythromycin, pioneer Mycophenolate IV after treatment subsided. In mid-November, remove the filling, abscess drainage.