title: A dental complication involving Pseudomonas during chemotherapy for acute lymphoblastic leukemia.
abstract: This is a case report of an 11-year-old white female, diagnosed with acute lymphoblastic leukemia, who developed a dental complication involving endodontic failure and Pseudomonas infection during induction chemotherapy. This unusual set of circumstances resulted in alteration of the child's medical management. Although the oral infection, neutropenia and delayed healing response resulted in interruption of the course of chemotherapy, the child did eventually achieve remission. This case does however demonstrate the importance of dental consultation for oncology patients.
authors.affiliation: Department of Pediatric Dentistry, University of Oklahoma, College of Dentistry.
authors.forename: B D
authors.initials: BD
authors.lastname: Cheatham
authors.forename: R J
authors.initials: RJ
authors.lastname: Henry
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects*; D001215:Asparaginase / Q000008:administration & dosage; D002648:Child; D003561:Cytarabine / Q000008:administration & dosage; D017742:Dental Care for Chronically Ill; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D008727:Methotrexate / Q000008:administration & dosage; D010482:Periapical Abscess / Q000150:complications / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications* / Q000188:drug therapy; D011241:Prednisone / Q000008:administration & dosage; D011552:Pseudomonas Infections / Q000150:complications / Q000188:drug therapy / Q000209:etiology*; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D012074:Remission Induction; D014750:Vincristine / Q000008:administration & dosage
chemical_list: D003561:Cytarabine; D014750:Vincristine; D001215:Asparaginase; D011241:Prednisone; D008727:Methotrexate