British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 20, Issue.: 6
Management of Odontogenic Abscess in Patients with Sickle Cell Anemia: 5 Case Reports
Mutombo Mutombo Alphonse1, Nyimi Bushabu Fidele2*, Kanyana Makolo Dany1, Ngueji Kakubu Olivier3, Mantshumba Milolo Augustin4 and Suwal Rubina5
1Research Sciences and Health Institute of Kinshasa, Kinshasa, DR Congo.
2Oral and Maxillofacial Surgery, Department of Dental Medicine, Affiliated Hospital of Kinshasa University, Kinshasa, DR Congo.
3Department of Pediatrics, General Reference Hospital of Kintambo, Kinshasa, DR Congo.
4Prosthodontics and Orthodontics Service, Department of Dental Medicine, Affiliated Hospital of Kinshasa University, Kinshasa, DR Congo.
5Department of Oral and Maxillofacial Surgery, Second Affiliated Hospital of Jiamusi University, Heilongjiang, China.
Sickle cell anemia (SCA) is a hereditary disorder characterized by a defect in the red blood cell (RBC) hemoglobin molecule resulting in a diminished ability for the blood to carry oxygen and a tendency for the blood to clump. Clinical manifestations of SCA, apart from the vasoocclusive complications are increasing susceptibility to infection, and chronic anemia from both hemolysis of the sickle cells. Five patients with age ranging from 14 to 27 years; presented to the service of Dentistry, Mixed Medicine Center and SS Anemia (MMCSA), Kinshasa/DR. Congo with a history of pain and swelling in the mandible and/or maxillary regions of several days duration. All 5 patients were diagnosed with odontogenic abscesses. Because any infection in a patient with SS disease can become life-threatening, we present these case reports to call attention to this serious problem and share our clinical management and experience, especially with surgeons who practice in areas with limited resources. In addition, we review the signs, symptoms, diagnosis, and surgical management of odontogenic infection.
Conclusion: The diagnosis and the management of ododntogenic abscess in the patients with sickle cell anemia require consultation the patient’s physician and understanding of the physiopathology as well as the oral clinical manifestations of the disease.
Odontogenic abscess; diagnosis; management; sickle cell anemia.
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DOI : 10.9734/BJMMR/2017/30968