Multiple brain abscesses treated by extraction of the maxillary molars with chronic apical lesion to remove the source of infection.

Autor: Jung KH; Department of Dentistry/Oral and Maxillofacial Surgery, College of Medicine, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul, 04763 South Korea., Ro SS; Department of Dentistry/Oral and Maxillofacial Surgery, College of Medicine, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul, 04763 South Korea., Lee SW; Department of Dentistry/Oral and Maxillofacial Surgery, College of Medicine, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul, 04763 South Korea., Jeon JY; Department of Dentistry/Oral and Maxillofacial Surgery, College of Medicine, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul, 04763 South Korea., Park CJ; Department of Dentistry/Oral and Maxillofacial Surgery, College of Medicine, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul, 04763 South Korea., Hwang KG; Department of Dentistry/Oral and Maxillofacial Surgery, College of Medicine, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul, 04763 South Korea.
Jazyk: angličtina
Zdroj: Maxillofacial plastic and reconstructive surgery [Maxillofac Plast Reconstr Surg] 2019 Jul 03; Vol. 41 (1), pp. 25. Date of Electronic Publication: 2019 Jul 03 (Print Publication: 2019).
DOI: 10.1186/s40902-019-0208-2
Abstrakt: Background: Brain abscess is a life-threatening condition that occurs due to complications during a neurosurgical procedure, direct cranial trauma, or the presence of local or distal infection. Infection in the oral cavity can also be considered a source of brain abscess.
Case Presentation: A 45-year-old male patient was transported with brain abscess in the subcortical white matter. Navigation-guided abscess aspiration and drainage was performed in the right mid-frontal lobe, but the symptoms continued to worsen after the procedure. A panoramic radiograph showed alveolar bone resorption around the maxillary molars. The compromised maxillary molars were extracted under local anesthesia, and antibiotics were applied based on findings from bacterial culture. A brain MRI confirmed that the three brain abscesses in the frontal lobe were reduced in size, and the patient's symptoms began to improve after the extractions.
Conclusion: This is a rare case report about multiple uncontrolled brain abscesses treated by removal of infection through the extraction of maxillary molars with odontogenic infection. Untreated odontogenic infection can also be considered a cause of brain abscess. Therefore, it is necessary to recognize the possibility that untreated odontogenic infection can lead to serious systemic inflammatory diseases such as brain abscess. Through a multidisciplinary approach to diagnosis and treatment, physicians should be encouraged to consider odontogenic infections as a potential cause of brain abscesses.
Competing Interests: Competing interestsThe authors declare that they have no competing interests.
Databáze: MEDLINE
Externí odkaz: