RESUMO
Schizophrenia is a debilitating psychiatric disorder that affects a large segment of the population. It is managed mainly through pharmacotherapy, and family engagement is mandatory in the process. We present a case of self-mutilation in a 22-year-old man who cut his mandible with an electric saw, trying to modify his chin to better his appearance.
Assuntos
Traumatismos Faciais/etiologia , Traumatismos Faciais/cirurgia , Traumatismos Mandibulares/etiologia , Traumatismos Mandibulares/cirurgia , Esquizofrenia , Automutilação , Traumatismos Faciais/diagnóstico por imagem , Humanos , Imageamento Tridimensional , Masculino , Traumatismos Mandibulares/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Adulto JovemRESUMO
Aim: To investigate the bacteriological profile of oral and maxillofacial infections and the pattern of sensitivity to a specific group of antibiotics in a reference emergency hospital in Brazil. Methods: This is a prospective cohort institutional study that studied patients affected by oral and/ or maxillofacial infections in a Brazilian emergency hospital, over a 12-month period, of different etiologies, through data collection, culture and antibiogram tests, and monitoring of the process of resolution of the infectious condition. The variables were analyzed using the chi-square and Mann-Whitney tests, using a significance level of 5%. Results: The sample consisted of 61 patients, 62.3% male. The mean age of participants was 34.3 years. Odontogenic infection was the most frequent etiology and the submandibular space was the most affected. The bacterial species Streptococcus viridans was isolated in 21.6% of cases. Levofloxacin, vancomycin and penicillin were the antibiotics with the highest frequency of bacterial sensitivity, while clindamycin and erythromycin showed the highest percentages of resistance. Conclusions: The results suggest that, among the most used antibiotics for the treatment of these infections, penicillin remains an excellent option of choice for empirical therapy
Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Infecção da Ferida Cirúrgica , Bactérias/efeitos dos fármacos , Resistência Microbiana a Medicamentos , Infecção Focal Dentária , AntibacterianosRESUMO
A 13-year-old boy had complained of an asymptomatic swelling in the anterior maxilla for approximately 4 years. The patient reported no local trauma. The intra-oral examination revealed an exophytic lesion in the incisive papilla between the maxillary central and lateral incisor teeth. The radiographies detected no significant findings. Histopathologically, the lesion showed a dense fibrous tissue above the overlying mucosa. Bone ossification lay beneath a partially hypertrophic cartilage showing occasionally pleomorphic chondrocytes. Because of its microscopic aspects, heterotopic ossification may be mistaken for chondrosarcoma or other conditions involving periosteum, such as parosteal osteosarcoma. A case of heterotopic ossification in the anterior maxilla is presented, and clinicopathologic similarities with other osteochondromatous lesions are discussed.