A Case of Pentastomiasis at the Left Maxilla Bone in a Patient with Thyroid Cancer
The Korean Journal of Parasitology
; : 433-437, 2017.
Article
de En
| WPRIM
| ID: wpr-69361
Bibliothèque responsable:
WPRO
ABSTRACT
Pentastomiasis, a zoonotic parasite infection, is typically found in the respiratory tract and viscera of the host, including humans. Here, we report for the first time an extremely rare case of intraosseous pentastomiasis in the human maxilla suffering from medication related osteonecrosis of the jaw (MRONJ). A 55-year-old male had continuously visited the hospital for MRONJ which had primarily developed after bisphosphonate and anti-neoplastic administration for previous bone metastasis of medullary thyroid cancer. Pain, bone exposure, and pus discharge in the right mandible and left maxilla were seen. Osteolysis with maxillary cortical bone perforation at the left buccal vestibule, palate, nasal cavity, and maxillary sinus was observed by radiologic images. A biopsy was done at the left maxilla and through pathological evaluation, a parasite with features of pentastome was revealed within the necrotic bone tissue. Further history taking and laboratory evaluation was done. The parasite was suspected to be infected through maxillary open wounds caused by MRONJ. Awareness of intraosseous pentastomiasis should be emphasized not to be missed behind the MRONJ. Proper evaluation and interpretation for past medical history may lead to correct differential diagnosis and therapeutic intervention for parasite infections.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Ostéolyse
/
Ostéonécrose
/
Palais
/
Parasites
/
Appareil respiratoire
/
Suppuration
/
Glande thyroide
/
Plaies et blessures
/
Biopsie
/
Os et tissu osseux
Type d'étude:
Diagnostic_studies
Limites du sujet:
Humans
/
Male
langue:
En
Texte intégral:
The Korean Journal of Parasitology
Année:
2017
Type:
Article