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Severe presentation of necrotizing ulcerative periodontitis in a Nigerian HIV-positive patient: a case report.
Med Princ Pract. 2011; 20(4):374-6.MP

Abstract

OBJECTIVE

To report a case of severe necrotizing ulcerative periodontitis (NUP) with a rarely associated sequestrum formation in a Nigerian HIV-positive patient.

CLINICAL PRESENTATION AND INTERVENTION

A 47-year-old HIV-positive male patient with no history of previous dental visits presented with a severe toothache in his lower jaw of 4 weeks' duration, which had affected his ability to chew properly. Clinical examination revealed marked gingival inflammation, moderate gingival recession and mobility of some of his lower anterior teeth: 31, 32, and 33. There was also a sequestrum present associated with the affected teeth. His CD4 cell count was 226 cells/mm(3). His viral load was very high (360,082 copies/ml). The intervention included thorough debridement of the necrotic lesion and sequestrectomy. The patient responded well to treatment after 1 week of follow-up. Unfortunately, the CD4 count was not assessed further because the patient was lost to follow-up.

CONCLUSION

This case showed that a high CD4 cell count does not necessarily prevent the occurrence of NUP in HIV-positive patients. Intervention might have enhanced a rapid positive response to the treatment within a short time.

Authors+Show Affiliations

Department of Preventive Dentistry, Faculty of Dental Sciences, College of Medicine, University of Lagos, Lagos, Nigeria. kumeiz09@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21577000

Citation

Umeizudike, Kehinde Adesola, et al. "Severe Presentation of Necrotizing Ulcerative Periodontitis in a Nigerian HIV-positive Patient: a Case Report." Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre, vol. 20, no. 4, 2011, pp. 374-6.
Umeizudike KA, Savage KO, Ayanbadejo PO, et al. Severe presentation of necrotizing ulcerative periodontitis in a Nigerian HIV-positive patient: a case report. Med Princ Pract. 2011;20(4):374-6.
Umeizudike, K. A., Savage, K. O., Ayanbadejo, P. O., & Akanmu, S. A. (2011). Severe presentation of necrotizing ulcerative periodontitis in a Nigerian HIV-positive patient: a case report. Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre, 20(4), 374-6. https://doi.org/10.1159/000324872
Umeizudike KA, et al. Severe Presentation of Necrotizing Ulcerative Periodontitis in a Nigerian HIV-positive Patient: a Case Report. Med Princ Pract. 2011;20(4):374-6. PubMed PMID: 21577000.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Severe presentation of necrotizing ulcerative periodontitis in a Nigerian HIV-positive patient: a case report. AU - Umeizudike,Kehinde Adesola, AU - Savage,Kofoworola Olaide, AU - Ayanbadejo,Patricia Omowunmi, AU - Akanmu,Sulaimon Akanni, Y1 - 2011/05/11/ PY - 2010/06/14/received PY - 2010/11/08/accepted PY - 2011/5/18/entrez PY - 2011/5/18/pubmed PY - 2011/9/14/medline SP - 374 EP - 6 JF - Medical principles and practice : international journal of the Kuwait University, Health Science Centre JO - Med Princ Pract VL - 20 IS - 4 N2 - OBJECTIVE: To report a case of severe necrotizing ulcerative periodontitis (NUP) with a rarely associated sequestrum formation in a Nigerian HIV-positive patient. CLINICAL PRESENTATION AND INTERVENTION: A 47-year-old HIV-positive male patient with no history of previous dental visits presented with a severe toothache in his lower jaw of 4 weeks' duration, which had affected his ability to chew properly. Clinical examination revealed marked gingival inflammation, moderate gingival recession and mobility of some of his lower anterior teeth: 31, 32, and 33. There was also a sequestrum present associated with the affected teeth. His CD4 cell count was 226 cells/mm(3). His viral load was very high (360,082 copies/ml). The intervention included thorough debridement of the necrotic lesion and sequestrectomy. The patient responded well to treatment after 1 week of follow-up. Unfortunately, the CD4 count was not assessed further because the patient was lost to follow-up. CONCLUSION: This case showed that a high CD4 cell count does not necessarily prevent the occurrence of NUP in HIV-positive patients. Intervention might have enhanced a rapid positive response to the treatment within a short time. SN - 1423-0151 UR - https://www.unboundmedicine.com/medline/citation/21577000/Severe_presentation_of_necrotizing_ulcerative_periodontitis_in_a_Nigerian_HIV_positive_patient:_a_case_report_ L2 - https://www.karger.com?DOI=10.1159/000324872 DB - PRIME DP - Unbound Medicine ER -