Öz
There are many complications associated with a maxillary sinus, during extraction of a maxillary posterior teeth. Root of a tooth which is accidentally pushed into the maxillary sinus is one of the reasons that make up 10% of the dental-sourced maxillary sinusitis. In the literature, although many types of bacteria cause dental-sourced sinus infection, enteric Citrobacter coseri (C. koseri) is a rare factor of maxillary sinusitis. A 34-year-old woman presented to our clinic with pain in the right upper jaw molar teeth region. A displaced tooth root was detected by a panoramic film in an edentulous maxillary first molar region. Surgical removal of the tooth root was undertaken via an open sinus surgery with resolution of symptoms. Green tooth root was analyzed in an anaerobic and aerobic culture in a microbiology laboratory. After 24-hour in 37 °C aerobic incubation time pure gram negative basil colonies were observed. Following the conventional methods colonies also were analyzed with the compact automatic identification system VITEK2, and were detected as C. coseri
Anahtar Kelimeler
Kaynakça
- Nair UP, Nair MK. Maxillary sinusitis of odontogenic origin: cone-beam volumetric computerized tomography-aided diagnosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010 Dec;110:6:e53-57.
- Sethi A, Cariappa KM, Chitra A. Root fragment in the ostium of the maxillary sinus. Br J Oral Maxillofac Surg 2009 Oct;47:7:572-573
- Olszewski J, Miłoński J. The analysis of the bacterial and fungal flora in maxillary sinuses in patients operated due to FESS method. The Polish Otolaryngology 2008; 624: 458-461.
- Abbott SL. Klebsiella, Enterobacter, Citrobacter, Serratia, Plesiomonas, and other Enterobacteriaceae. In: Murray PR, Baron EJ, Pfaller MA, Jorgensen JH, Yolken RH (eds). Manual of Clinical Microbiology. Washington DC: ASM Press, 2003:684-695.
- Akalın H. Enterobacter ve diğer Gram negatif enterikler. Topçu AW, Söyletir G, Doğanay M. Infeksiyon Hastalıkları ve Mikrobiyolojisi. Istanbul: Nobel Tıp Kitabevleri,2002:1583-1584.
- Gülhan B, Özekinci T, Meşe S, Atmaca S. 2004-2006 Yılları Arasında İzole Edilen Citrobacter Suşlarında Antibiyotik Direnci. ANKEM Derg. 2007; 21:2: 91-94.
- Clinical and Laboratory Standards Institute 2010: Performance Standards for Antimicrobial Susceptibility Testing; Twentieth Informational Suplement.2010;30:1:20.
- Doran TI. The role of Citrobacter in clinical disease of children: review. Clin Infect Dis 1999;28:384-94.
- Townsend SM, Pollack HA, Gonzalez-Gomez I, Shimada H, Badger JL. Citrobacter koseri brain abscess in the neonatal rat: survival and replication within human and rat macrophages. Infect Immun 2003;71:5871-80.
- Deshpande LM, Jones RN, Fritsche TR, Sader HS. Occurrence and characterization of carbapenemase-producing Enterobacteriaceae: report from the SENTRY Antimicrobial Surveillance Program (2000–2004). Microb Drug Resist 2006;12:223-30.
Öz
Maksiller posterior bölgede yapılan diş çekimleri sırasında maksiller sinüs ile ilişkili çok sayıda komplikasyon ile karşılaşılmaktadır. Diş kökenli maksiller sinüzitlerin %10’unu oluşturan sinüse kök kaçırılması dental kaynaklı nedenlerden birisidir. Literatürde dental kaynaklı sinüs enfeksiyonu oluşturabilen birçok bakteri türünden bahsedilmesine rağmen, enterik bir bakteri olan Citrobacter koseri (C. koseri) nadir görülen bir sinüs enfeksiyonu etkenidir. 34 yaşındaki, bayan hasta, kliniğimize üst çene sağ taraf büyükazı dişler bölgesinde ağrı şikayeti ile başvurdu. Yapılan radyografik inceleme sonucunda hastanın maksiller sinüsünde rezidüel kök tespit edildi. Mevcut residüel kök Caldwel Luc cerrahisi ile çıkarıldı. Hastanın şikayetleri ortadan kalktı. Yeşil renkli olan diş kökü mikrobiyoloji laboratuvarında anaerobik ve aerobik olarak kültüre edildi. 37 °C’taki 24 saatlik aerobik inkübasyonu takiben gram negatif basil morfolojisine sahip saf koloniler saptandı. Koloniler konvansiyonel yöntemlerin yanısıra VITEK2 Compact otomatik identifikasyon sistemi ile de C. koseri olarak tanımlandı.
Anahtar Kelimeler
Kaynakça
- Nair UP, Nair MK. Maxillary sinusitis of odontogenic origin: cone-beam volumetric computerized tomography-aided diagnosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010 Dec;110:6:e53-57.
- Sethi A, Cariappa KM, Chitra A. Root fragment in the ostium of the maxillary sinus. Br J Oral Maxillofac Surg 2009 Oct;47:7:572-573
- Olszewski J, Miłoński J. The analysis of the bacterial and fungal flora in maxillary sinuses in patients operated due to FESS method. The Polish Otolaryngology 2008; 624: 458-461.
- Abbott SL. Klebsiella, Enterobacter, Citrobacter, Serratia, Plesiomonas, and other Enterobacteriaceae. In: Murray PR, Baron EJ, Pfaller MA, Jorgensen JH, Yolken RH (eds). Manual of Clinical Microbiology. Washington DC: ASM Press, 2003:684-695.
- Akalın H. Enterobacter ve diğer Gram negatif enterikler. Topçu AW, Söyletir G, Doğanay M. Infeksiyon Hastalıkları ve Mikrobiyolojisi. Istanbul: Nobel Tıp Kitabevleri,2002:1583-1584.
- Gülhan B, Özekinci T, Meşe S, Atmaca S. 2004-2006 Yılları Arasında İzole Edilen Citrobacter Suşlarında Antibiyotik Direnci. ANKEM Derg. 2007; 21:2: 91-94.
- Clinical and Laboratory Standards Institute 2010: Performance Standards for Antimicrobial Susceptibility Testing; Twentieth Informational Suplement.2010;30:1:20.
- Doran TI. The role of Citrobacter in clinical disease of children: review. Clin Infect Dis 1999;28:384-94.
- Townsend SM, Pollack HA, Gonzalez-Gomez I, Shimada H, Badger JL. Citrobacter koseri brain abscess in the neonatal rat: survival and replication within human and rat macrophages. Infect Immun 2003;71:5871-80.
- Deshpande LM, Jones RN, Fritsche TR, Sader HS. Occurrence and characterization of carbapenemase-producing Enterobacteriaceae: report from the SENTRY Antimicrobial Surveillance Program (2000–2004). Microb Drug Resist 2006;12:223-30.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Case Reports |
| Yazarlar | |
| Yayımlanma Tarihi | 12 Ağustos 2015 |
| Gönderilme Tarihi | 15 Ocak 2014 |
| Yayımlandığı Sayı | Yıl 2015Cilt: 18 Sayı: 3 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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