{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T02:28:57Z","timestamp":1784687337970,"version":"3.55.0"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"11-12","license":[{"start":{"date-parts":[[2025,1,17]],"date-time":"2025-01-17T00:00:00Z","timestamp":1737072000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Gout is caused by monosodium urate crystal deposition within joints and periarticular structures. It is characterized by the typical arthritis symptoms such as pain, swelling, and redness usually involving the first metatarsophalangeal joint. Recurrent attacks of gout are common, especially after major surgical procedures during which intense cell turnover takes place and can lead to hyperuricemia and accumulation of monosodium urate crystals. However, there is insufficient evidence about the re-occurrence of gout in patients after surgical interventions in the head and neck area. This case report is the first to describe an immediate acute gout episode after surgical management of a facial abscess involving multiple spaces, associated with severely decayed, nonrestorable lower left molars, in a 58-year-old male patient with a history of gout. It furthermore describes prophylactic measures to prevent the occurrence of gout flares in similar cases.<\/jats:p>","DOI":"10.1093\/milmed\/usaf001","type":"journal-article","created":{"date-parts":[[2025,1,2]],"date-time":"2025-01-02T15:17:01Z","timestamp":1735831021000},"page":"e2629-e2631","source":"Crossref","is-referenced-by-count":2,"title":["Rare Case of Immediate Postoperative Acute Gout Flare Associated With Surgical Management of Facial Abscess of Odontogenic Origin\u2014Case Report"],"prefix":"10.1093","volume":"190","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4227-2626","authenticated-orcid":false,"given":"Nikoletta","family":"Vargas","sequence":"first","affiliation":[{"name":"Kimbrough Ambulatory Care Center, U.S. ARMY, MEDDAC , Fort Meade, MD 20755,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9742-9951","authenticated-orcid":false,"given":"Mana","family":"Saraghi","sequence":"additional","affiliation":[{"name":"Dental Anesthesiology, Jacobi Medical Center , Bronx, NY 10461,","place":["USA"]},{"name":"Department of Dentistry, Albert Einstein College of Medicine , Bronx, NY 10467,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,1,17]]},"reference":[{"issue":"9","key":"2025110519310123700_R1","doi-asserted-by":"publisher","first-page":"1271","DOI":"10.1136\/ard.2007.078683","article-title":"Clinical features and risk factors of postsurgical gout","volume":"67","author":"Kang","year":"2008","journal-title":"Ann Rheum Dis"},{"issue":"1","key":"2025110519310123700_R2","doi-asserted-by":"publisher","first-page":"58","DOI":"10.7326\/M16-0570","article-title":"Management of acute and recurrent gout: a clinical practice guideline from the American College of Physicians","volume":"166","author":"Qaseem","year":"2017","journal-title":"Ann Intern Med"},{"issue":"1","key":"2025110519310123700_R3","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-023-03536-8","article-title":"Acute gout attacks during the perioperative period and risk factors of recurrence after orthopedic surgery among untreated gout patients","volume":"18","author":"Wang","year":"2023","journal-title":"J Orthop Surg Res"},{"issue":"12","key":"2025110519310123700_R4","doi-asserted-by":"publisher","first-page":"1759","DOI":"10.1111\/obr.12940","article-title":"Impact of bariatric surgery on serum uric acid levels and the incidence of gout \u2013 a meta-analysis","volume":"20","author":"Yeo","year":"2019","journal-title":"Obes Rev"},{"issue":"10","key":"2025110519310123700_R5","doi-asserted-by":"publisher","first-page":"951","DOI":"10.1016\/S1053-2498(00)00175-3","article-title":"Post-cardiac transplantation gout: incidence of therapeutic complications","volume":"19","author":"Wluka","year":"2000","journal-title":"J Heart Lung Transplant"},{"issue":"8","key":"2025110519310123700_R6","doi-asserted-by":"publisher","first-page":"e507","DOI":"10.1016\/S2665-9913(24)00117-6","article-title":"Global, regional, and national burden of gout, 1990\u20132020, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021","volume":"6","author":"GBD 2021 Gout Collaborators","year":"2024","journal-title":"Lancet Rheumatol"},{"issue":"9","key":"2025110519310123700_R7","doi-asserted-by":"publisher","first-page":"1363","DOI":"10.1002\/acr.24339","article-title":"Incidence, prevalence, and burden of gout in the veterans health administration","volume":"73","author":"Helget","year":"2021","journal-title":"Arthritis Care Res"}],"container-title":["Military Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/190\/11-12\/e2629\/61477122\/usaf001.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/190\/11-12\/e2629\/61477122\/usaf001.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T00:31:07Z","timestamp":1762389067000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/milmed\/article\/190\/11-12\/e2629\/7959301"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,17]]},"references-count":7,"journal-issue":{"issue":"11-12","published-online":{"date-parts":[[2025,1,17]]},"published-print":{"date-parts":[[2025,11,1]]}},"URL":"https:\/\/doi.org\/10.1093\/milmed\/usaf001","relation":{},"ISSN":["0026-4075","1930-613X"],"issn-type":[{"value":"0026-4075","type":"print"},{"value":"1930-613X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,11]]},"published":{"date-parts":[[2025,1,17]]}}}