Dental Extraction in a Patient Living with Human Immunodeficiency Virus with Neutropenia and Thrombocytopenia

Temitope T Omolehinwa; Osamudiamen Idahosa; Chizobam Idahosa

doi:10.1016/j.cden.2023.02.022

Dental Extraction in a Patient Living with Human Immunodeficiency Virus with Neutropenia and Thrombocytopenia

Dent Clin North Am. 2023 Jul;67(3):483-486. doi: 10.1016/j.cden.2023.02.022. Epub 2023 Mar 25.

Authors

Temitope T Omolehinwa¹, Osamudiamen Idahosa², Chizobam Idahosa³

Affiliations

¹ Department of Oral Medicine, Penn Dental Medicine, University of Pennsylvania, 240 South 40th Street, Philadelphia, PA 19104, USA. Electronic address: omote@upenn.edu.
² Department of Critical Care Medicine, St Luke's University Health Network, Bethlehem, PA, USA.
³ Department of Oral Medicine, Penn Dental Medicine, University of Pennsylvania, 240 South 40th Street, Philadelphia, PA 19104, USA.

PMID: 37244721
DOI: 10.1016/j.cden.2023.02.022

Abstract

A 34-year-old male patient living with human immunodeficiency virus (HIV) presents to the dental clinic with a 1-week history of throbbing tooth pain. He was referred by an oral medicine specialist for evaluation and treatment. The patient presents with very low absolute neutrophil, platelet, and cluster of differentiation (CD) (also T-helper cell) 4+ cell counts, as well as a high HIV RNA/viral load. Determining factors for dental management before extraction of the offending teeth were the absolute neutrophil count and platelet counts.

Keywords: Absolute neutrophil count (ANC); HIV; Low platelets; Thrombocytopenia.

Publication types

Case Reports
Review
Research Support, N.I.H., Extramural

MeSH terms

Adult
HIV
HIV Infections* / complications
Humans
Male
Neutropenia* / complications
Thrombocytopenia* / complications
Tooth Extraction

Grants and funding

R01 DE029648/DE/NIDCR NIH HHS/United States