{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T04:16:15Z","timestamp":1728360975731},"reference-count":5,"publisher":"American Dental Society of Anesthesiology (ADSA)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023]]},"abstract":"Immunoglobulin A (IgA) deficiency is one of the most common immune disorders characterized by increased susceptibility to infections, especially involving the respiratory tract and mucosal surfaces of the mouth, gingiva, and nasal sinus. Because dental surgery and general anesthesia may pose an increased risk for systemic infections, management of IgA-deficient patients requires caution during dental procedures and intubated general anesthesia. We report a 5-year-old female patient with IgA deficiency who underwent extraction of 18 deciduous teeth under general anesthesia. Antibiotic prophylaxis and antiseptic mouthwash were used perioperatively to reduce bacteremia risks. Nasotracheal intubation was carefully performed after applying topical disinfectants and epinephrine-containing gauze packing into the nasal cavity to minimize trauma. The patient was carefully monitored overnight in the hospital and discharged without any signs or symptoms of infection the next day. Dental anesthesia providers must be aware of the potential implications for safe practice when managing patients with IgA deficiency.<\/jats:p>","DOI":"10.2344\/anpr-70-02-13","type":"journal-article","created":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T12:06:51Z","timestamp":1697630811000},"page":"140-141","source":"Crossref","is-referenced-by-count":0,"title":["Dental Treatment Under General Anesthesia With Nasal Intubation in a Patient With Selective Immunoglobulin A Deficiency"],"prefix":"10.2344","volume":"70","author":[{"given":"Yuho","family":"Sakuma","sequence":"first","affiliation":[{"name":"Section of Anesthesiology, Department of Diagnostics and General Care, Fukuoka Dental College, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mika","family":"Ogawa","sequence":"additional","affiliation":[{"name":"Section of Anesthesiology, Department of Diagnostics and General Care, Fukuoka Dental College, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chie","family":"Nakagawa","sequence":"additional","affiliation":[{"name":"Section of Anesthesiology, Department of Diagnostics and General Care, Fukuoka Dental College, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kodai","family":"Momota","sequence":"additional","affiliation":[{"name":"Section of Anesthesiology, Department of Diagnostics and General Care, Fukuoka Dental College, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emi","family":"Kaji","sequence":"additional","affiliation":[{"name":"Section of Anesthesiology, Department of Diagnostics and General Care, Fukuoka Dental College, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kingo","family":"Matsumura","sequence":"additional","affiliation":[{"name":"Section of Anesthesiology, Department of Diagnostics and General Care, Fukuoka Dental College, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saori","family":"Morinaga","sequence":"additional","affiliation":[{"name":"Section of Anesthesiology, Department of Diagnostics and General Care, Fukuoka Dental College, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kentaro","family":"Nogami","sequence":"additional","affiliation":[{"name":"Section of Anesthesiology, Department of Diagnostics and General Care, Fukuoka Dental College, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mizuko","family":"Ikeda","sequence":"additional","affiliation":[{"name":"Section of Anesthesiology, Department of Diagnostics and General Care, Fukuoka Dental College, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1191","reference":[{"key":"i1878-7177-70-3-140-b01","series-title":"IgA deficiency. StatPearls. StatPearls Publishing;","author":"Rawla","year":"2023","unstructured":"Rawla\n P,\n \n \n Killeen\n RB,\n \n \n Joseph\n N.\n \n \n IgA deficiency. StatPearls. StatPearls Publishing;\n 2023.\nAccessed March 1, 2023. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK538205\/"},{"issue":"(8)","key":"i1878-7177-70-3-140-b02","series-title":"Circ J","first-page":"1767","article-title":"2017 Guideline on Prevention and Treatment of Infective Endocarditis","volume":"83","author":"Nakatani","year":"2019","unstructured":"Nakatani\n S,\n \n \n Ohara\n T,\n \n \n Ashihara\n K,\n \n \n Izumi\n C,\n \n \n Iwanaga\n S,\n \n \n Eishi\n K,\n \n \n Okita\n Y,\n \n \n Daimon\n M,\n \n \n Kimura\n T,\n \n \n Toyoda\n K,\n \n \n Nakase\n H,\n \n \n Nakano\n K,\n \n \n Higashi\n M,\n \n \n Mitsutake\n K,\n \n \n Murakami\n T,\n \n \n Yasukochi\n S,\n \n \n Okazaki\n S,\n \n \n Sakamoto\n H,\n \n \n Tanaka\n H,\n \n \n Nakagawa\n I,\n \n \n Nomura\n R,\n \n \n Fujiu\n K,\n \n \n Miura\n T,\n \n \n Morizane\n T;\n \n \n Japanese Circulation Society Joint Working Group. JCS\n 2017 Guideline on Prevention and Treatment of Infective Endocarditis.\nCirc J.\n2019;\n83(8);\n1767\u20131809."},{"issue":"(4)","key":"i1878-7177-70-3-140-b03","series-title":"PLoS One","first-page":"e0195592","article-title":"Does chlorhexidine reduce bacteremia following tooth extraction? a systematic review and meta-analysis","volume":"13","author":"Arteagoitia","year":"2018","unstructured":"Arteagoitia\n I,\n \n \n Andres\n CR,\n \n \n Ramos\n E.\n \n \n Does chlorhexidine reduce bacteremia following tooth extraction? a systematic review and meta-analysis.\nPLoS One.\n2018;\n13(4):\ne0195592."},{"issue":"(8)","key":"i1878-7177-70-3-140-b04","series-title":"Anesthesia","first-page":"866","article-title":"Anesthetic experience with short-stay surgery for bilateral breast cancer in a patient with Kartagener's syndrome. Article in Japanese","volume":"52","author":"Gotaro","year":"2003","unstructured":"Gotaro\n S,\n \n \n Tsunehisa\n N,\n \n \n Syogo\n M,\n \n \n Kazuhiko\n F.\n \n \n Anesthetic experience with short-stay surgery for bilateral breast cancer in a patient with Kartagener's syndrome. Article in Japanese.\nAnesthesia.\n2003;\n52(8):\n866\u2013869."},{"issue":"(7)","key":"i1878-7177-70-3-140-b05","series-title":"Clin Anesth","first-page":"1003","article-title":"A case of IgA deficiency with sepsis after dental treatment under general anesthesia. Article in Japanese","volume":"39","author":"Shinichiro","year":"2015","unstructured":"Shinichiro\n K,\n \n \n Chiharu\n A.\n \n \n A case of IgA deficiency with sepsis after dental treatment under general anesthesia. Article in Japanese.\nClin Anesth.\n2015;\n39(7):\n1003\u20131006."}],"container-title":["Anesthesia Progress"],"original-title":[],"link":[{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/70\/3\/article-p140.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/meridian.allenpress.com\/anesthesia-progress\/article-pdf\/70\/3\/140\/3278292\/i1878-7177-70-3-140.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/downloadpdf\/journals\/anpr\/70\/3\/article-p140.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/downloadpdf\/journals\/anpr\/70\/3\/article-p140.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T12:45:11Z","timestamp":1728305111000},"score":1,"resource":{"primary":{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/70\/3\/article-p140.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":5,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.2344\/anpr-70-02-13","relation":{},"ISSN":["1878-7177","0003-3006"],"issn-type":[{"type":"electronic","value":"1878-7177"},{"type":"print","value":"0003-3006"}],"subject":[],"published":{"date-parts":[[2023]]}}}