Xerostomia as a potential condition in patients Covid-19 with tetanus: A Case report

Makassar Dental Journal Pub Date : 2022-04-01 DOI:10.35856/mdj.v11i1.501

Alamsyah Piliang, Dewi Zakiawati, Nanan Nur’aeny

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引用次数: 1

Abstract

Introduction: Xerostomia is a dry mouth condition caused by many factors, including the potential of neuroinvasiveness and neurotropism from severe acute respiratory syndrome-coronavirus-2 (SARS-Cov-2). Tetanus causes muscle spasm, rigidity, and also as a risk factor for xerostomia. Objective: To discuss the pathogenesis of xerostomia in patients with coronavirus di-sease-2019 (Covid-19) and tetanus. Case: A 66-year-old male was referred to Oral Medicine Department from Neurology De-partment. Extraoral showed dry and exfoliative lips. Intraoral showed one finger mouth opening, a brownish plaque in dorsum of tongue, no saliva pooling in floor of mouth. Polymerase chain reaction SARS-Cov-2 was positive. Patient was diagnosed with xerostomia. Management: Cleaning the oral cavity with gauze moistened of 0.9% NaCl and 0.12% chlorhexidine diglu-conate, and applying the vaseline album on lips. Conclusion: The pathogenesis of xerostomia is an important factor as po-tential consequence of patients with Covid-19 and tetanus due to damage the angiotensin converting enzyme-2. Keywords: xerostomia, Covid-19, tetanus, angiotensin converting enzyme-2

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口干是Covid-19合并破伤风患者的潜在疾病:1例报告

简介:口干症是一种由多种因素引起的口干疾病，包括严重急性呼吸综合征-冠状病毒-2 (SARS-Cov-2)的潜在神经侵袭性和嗜神经性。破伤风引起肌肉痉挛、僵硬，也是口干症的危险因素。目的:探讨2019冠状病毒病(Covid-19)合并破伤风患者口干症的发病机制。病例:66岁男性，由神经科转至口腔内科。口腔外嘴唇干燥脱落。口内示一指开口，舌背有褐斑，口底无唾液淤积。聚合酶链反应SARS-Cov-2阳性。患者被诊断为口干症。处理方法:用0.9%氯化钠、0.12%二氯己定湿纱布清洁口腔，涂凡士林影集于唇部。结论:由于血管紧张素转换酶-2的损伤，口干的发病机制是新冠肺炎合并破伤风患者的一个重要潜在后果。关键词:口干症，Covid-19，破伤风，血管紧张素转换酶-2

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Makassar Dental Journal

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