We report a case of a 48-year-old male patient with "krokodil" drug-related osteonecrosis of both jaws. Patient history included 1.5 years of "krokodil" use, with 8-month drug withdrawal prior to surgery. The patient was HCV positive. On the maxilla, sequestrectomy was performed. On the mandible, sequestrectomy was combined with bone resection. From ramus to ramus, segmental defect was formed, which was not reconstructed with any method. Post-operative follow-up period was 3 years and no disease recurrence was noted. On 3-year post-operative orthopantomogram, newly formed mandibular bone was found. This phenomenon shows that spontaneous bone formation is possible after mandible segmental resection in osteonecrosis patients.
The textbook is devoted to the practical aspects of clinical pharmacology of drugs and modern principles of rational pharmacology. Based on a large amount of factual material, the main principles of rational selection of drugs, application and dosage, analysis of side effects are summarized. Special attention has been paid to drug interactions, which are the most common cause of problems during drug treatment. Situations when it is necessary to adjust the prescription of drugs or to carry out therapeutic drug monitoring have also considered. The manual is intended for students of higher medical educational institutions, pharmaceutical institutes and faculties. It may also be useful for clinical pharmacologists and practicing professionals in the field of healthcare.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.