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2016 Fiscal Year Final Research Report

Establishment of the concept of "febrile neutropenia caused by odontogenic infection" as periapical periodontitis

Research Project

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Project/Area Number 26462881
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Conservative dentistry
Research InstitutionOkayama University

Principal Investigator

SOGA Yoshihiko  岡山大学, 大学病院, 准教授 (70509489)

Co-Investigator(Renkei-kenkyūsha) MAEDA Yoshinobu  岡山大学, 大学病院, 講師 (60403474)
Research Collaborator MURO Misato  
HIGUCHI Tomoko  
OKUI Akemi  
KATAOKA Kota  
EKUNI Daisuke  
TANIMOTO Mitsune  
IIDA Seiji  
MORITA Manabu  
MATSUDA Yuri  
KAWAMURA Yumeno  
Yasuoka Rika  
TAKEDA Yuriko  
MISHIMA Misuzu  
KATAYAMA Tomoko  
ONO Yoshiko  
TAKAHASHI Kanayo  
KONDO Eisei  
FUJII Nobuharu  
TAO Ayaka  
SATO Takamaro  
FUJII Yurie  
MIYAOKA Mana  
MUKAI Mariko  
KODAMA Yuka  
TAKEMORO Nana  
TAKASHIBA Shogo  
MORI Takehiko  
HOSOKAWA Ryoichi  
NASU Junichiro  
MATSUBARA Minoru  
MIURA Ko  
KANZAKI Hiromitsu  
OKADA Hiroyuki  
YAMAMOTO Kazuhide  
SUGIURA Yuko  
Project Period (FY) 2014-04-01 – 2017-03-31
Keywords好中球減少性発熱 / 歯性感染 / 口腔内感染巣
Outline of Final Research Achievements

1) Febrile neutropenia caused by odontogenic infection was identified. ericoronitis was suspected as the origin of febrile neutropenia, and needs of further study was indicated.
2) The oral mucosal microbiota in cases treated with strong antibiotics, such as glycopeptides, differs from normal. As ulcerative oral mucositis was observed only in unusual mucosal microbiota, it may be associated with progression of oral mucositis. These unexpected bacteria may be involved in the pathophysiology of oral mucositis, and in general infection, including febrile neutropenia, via oral mucositis.
3) The same bacteria isolates were identified in the blood and oral mucosa in a patient with infective endocarditis. This observation suggests that there is a route between the focus of infection with infective endocarditis and the oral cavity.

Free Research Field

がん口腔支持療法

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Published: 2018-03-22  

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