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A Case Report on the Risk of Enterobacteriaceae Infection in the Oral and Maxillofacial Region
J Oral Med Pain 2019;44:133-139
Published online September 30, 2019;  https://doi.org/10.14476/jomp.2019.44.3.133
© 2019 Korean Academy of Orofacial Pain and Oral Medicine

Lee-Rang Lim1, Young-Cheol Lee1, Hye-Jung Lee1, Gyeo-Woon Jung1, Na-Ra Yun2, Yo-Seob Seo3, Ji-Su Oh1, Jae-Seek You1

1Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University, Gwangju, Korea
2Division of Infectious Disease, Department of Internal Medicine, College of Medicine, Chosun University, Gwangju, Korea
3Department of Oral and Maxillofacial Radiology, School of Dentistry, Chosun University, Gwangju, Korea
Correspondence to: Jae-Seek You
Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University, 309 Pilmun-daero, Dong-gu, Gwangju 61452, Korea
Tel: +82-62-220-3816 Fax: +82-62-222-3810 E-mail: applit375@chosun.ac.kr https://orcid.org/0000-0001-7638-9583
Received August 13, 2019; Revised September 6, 2019; Accepted September 8, 2019.
This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Osteomyelitis is an inflammatory condition of the bone caused by pathogenic bacteria. The causative pathogen is usually oral residing bacteria, but this is a report of patients with osteomyelitis infected with Enterobacteriaceae , which is not common. Enterobacteriaceae has been known to cause in-hospital infections for over last 30 years and is known to have multiple antibiotic resistances. Both cases in this study developed osteomyelitis after removal of the dentigerous cyst. Enterobacter aerogenes was cultured in one patient and Serratia marcescens in the other. After changing antibiotics through antibiotic susceptibility testing, clinical symptoms subsided and radiographic images confirmed that the callus formed and recovered at the same time.
Keywords : Enterobacter aerogenes; Osteomyelitis; Serratia marcescens