Acute necrotizing ulcerative gingivitis associated with Stenotrophomonas Maltophilia, a case report
DOI:
https://doi.org/10.5327/2525-5711.20200033Palavras-chave:
Dental care, Gingivitis, Necrotizing Ulcerative Stenotrophomonas maltophilia, Immunocompromised hostResumo
The aim of this study was to report a case of Acute Necrotizing Ulcerative Gingivitis (ANUG) related to chemotherapy toxicity and infection by Stenotrophomonas maltophilia bacterium, until then only one case of ANUG associated with this bacterium has been described in the literature. Female patient, 20 years old, diagnosed with poorly differentiated neuroendocrine carcinoma, undetermined primary site, was treated with etoposide and cisplatin. She presented halitosis, desquamative necrotic gingival tissue, with pseudomembrane formation compatible with ANUG related to chemotherapy toxicity and infection by Stenotrophomonas maltophilia bacterium. The Standard Operational Protocol for Oral Care (Oral SOP) adapted by VIDAL, AKL (2012), with topical application of oral sodium bicarbonate solution, 0.12% chlorhexidine digluconate, and hydrogen peroxide 10 volumes diluted with water, presenting tissue recovery. Early diagnosis and appropriate treatment with a multiprofessional team are decisive measures in the prognosis of pathogen infection and in the patient’s quality of life.
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Copyright (c) 1969 Mayara Larissa Moura de Souza, Isabela Vicência Menezes Castelo-Branco, Laís Azevedo Lins de Holanda, Angelica Lopes Frade, Cristianne de Barros Santos, Virgínia Costa Moura, Leila Coutinho Taguchi, Aurora Karla de Lacerda Vida
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