Severe necrotizing XXXX and @entity4034 after chemotherapy for acute @entity1778 .

@entity1 @entity1216 @entity7868 @entity295 @entity3136 @entity868 @entity115 @entity548 @entity5 @entity649 @entity4034 @entity1066 @entity79 @entity1778 @entity158 @entity3298
BACKGROUND: @entity1778 is a @entity5 characterized by clonal proliferation of white blood cells within the bone marrow. Despite an increase in the white blood cell count, the leukaemic leukocytes are non-functional. The oral complications arising in leukaemic @entity1 can be attributed to the direct and indirect effects of immunosuppressive chemotherapy. METHODS: This case report describes severe maxillary and mandibular necrotizing @entity3136 and @entity4034 in a young female @entity1 after chemotherapy for acute @entity1778 . On physical examination, the @entity1 presented malnourished with pale skin, cervical @entity3298 , frequent fever and generalized @entity158 . The intra-oral clinical examination found @entity7868 , multiple @entity1066 , necrotizing @entity3136 and @entity4034 located in the maxillary and mandibular regions. The necrotizing @entity3136 and @entity4034 were treated locally with atraumatic removal of the necrotized tissues. The @entity1 received a daily preventive protocol consisting of oral hygiene care, including twice daily brushing, and mouthrinses with a solution of @entity1216 . She was also treated with systemic @entity868 and @entity115 for 21 days. RESULTS: During the course of management the @entity1 's oral condition improved with some re-epithelialization being noted. However, severe alveolar @entity79 remained evident. Thirty-two months after presentation of the initial symptoms, the @entity1 died due to complications related to @entity1778 recurrence ( @entity548 , @entity295 and @entity649 ). CONCLUSIONS: Dental monitoring during @entity5 treatment is imperative in order to emphasize the importance of dental plaque control and the maintenance of a healthy periodontal condition throughout medical treatment.
