{"pk":8525,"title":"Complications of New Medications","subtitle":null,"abstract":"Numerous mandibular pathologies are diagnosed in the emergency department (ED). We present the case of a woman with severe right-sided mandibular pain who was found to have a pathological fracture and osteonecrosis of the jaw (ONJ). The etiology of ONJ was found to be associated to previous use of zoledronic acid to treat osteoporosis. The aim of this case report is to discuss the etiology, diagnosis and treatment of ONJ secondary to the use of zoledronic acid and to outline a clinical condition rarely seen in the ED whose incidence might rise with the increasing use of bisphosphonates. [West J Emerg Med. 2015;16(1):-0.]","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"bisphosphonates, zoledronic acid, osteoporosis, osteonecrosis."}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/978318mb","frozenauthors":[{"first_name":"Carlos","middle_name":"J.","last_name":"Roldan","name_suffix":"","institution":"The University of Texas Health Science Center at Houston, Department of Emergency Medicine, Houston, Texas","department":"None"},{"first_name":"Linda","middle_name":"","last_name":"Paniagua","name_suffix":"","institution":"The University of Texas Health Science Center at Houston, Department of Emergency Medicine, Houston, Texas","department":"None"}],"date_submitted":"2014-09-10T06:09:35Z","date_accepted":"2014-09-10T06:09:35Z","date_published":"2014-11-13T19:08:30Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/8525/galley/4917/download/"}]}