Management of Odontogenic Abscess in Patients with Sickle Cell Anemia: 5 Case Reports
Auteur(s): Mutombo Mutombo Alphonse1 , Nyimi Bushabu Fidèle, Kanyana Makolo Dany , Ngueji Kakubu Olivier , Mantshumba Milolo Augustin , Suwal RubinaNom de la revue/Journal: British Journal of Medicine & Medical Research 20(6): 1-5, 2017; Article no.BJMMR.30968 ISSN: 2231-0614, NLM ID: 101570965 SCIENCEDOMAIN international
Résumé
<p>ABSTRACT </p><p>Sickle cell anemia (SCA) is a hereditary disorder characterized by a defect in the red blood cell </p><p>(RBC) hemoglobin molecule resulting in a diminished ability for the blood to carry oxygen and a </p><p>tendency for the blood to clump. Clinical manifestations of SCA, apart from the vasoocclusive </p><p>complications are increasing susceptibility to infection, and chronic anemia from both hemolysis ofthe sickle cells. Five patients with age ranging from 14 to 27 years; presented to the service of </p><p>Dentistry, Mixed Medicine Center and SS Anemia (MMCSA), Kinshasa/DR. Congo with a history of </p><p>pain and swelling in the mandible and/or maxillary regions of several days duration. All 5 patients </p><p>were diagnosed with odontogenic abscesses. Because any infection in a patient with SS disease </p><p>can become life-threatening, we present these case reports to call attention to this serious problem </p><p>and share our clinical management and experience, especially with surgeons who practice in areas </p><p>with limited resources. In addition, we review the signs, symptoms, diagnosis, and surgical </p><p>management of odontogenic infection. </p><p>Conclusion: The diagnosis and the management of ododntogenic abscess in the patients with </p><p>sickle cell anemia require consultation the patient’s physician and understanding of the </p><p>physiopathology as well as the oral clinical manifestations of the disease.</p>