BRAIN ABSCESS SECONDARY TO BONY SEQUESTRUM AND DENTAL ABSCESS IN A HOSPITALIZED PATIENT - CASE REPORT.

Autor: REZENDE, Taciane Leite, GALVÃO, Gustavo Souza, AUGUSTO, Luisa Ammirabile, BOAS, Stephanie Ferreira Vilas, SAKUNO, Claudia Garcia, PERES, Maria Paula Siqueira de Melo, FRANCO, Juliana Bertoldi
Zdroj: Oral Surgery, Oral Medicine, Oral Pathology & Oral Radiology; Jun2024, Vol. 137 Issue 6, pe192-e193, 2p
Abstrakt: A 67-year-old female patient with diabetes experienced a prolonged epileptic seizure, fever, and leukocytosis. The diagnosis revealed a brain abscess caused by Eikenella corrodens, initially treated with ceftriaxone and metronidazole. A swelling on the hard palate with purulent drainage adjacent to the maxillary right canine was noted. A CT scan of the facial bones disclosed a bony sequestrum linked to the abscess. The patient underwent tooth extraction, necrotic bone fragment removal, and abscess drainage, which tested positive for Enterococcus faecalis sensitive to ampicillin. Following the initiation of ampicillin treatment, the patient displayed improvement in clinical, laboratory, and imaging parameters, eventually being discharged after 2 months. This case underscores the pivotal role of Hospital Dentistry in managing inpatients with systemic infections stemming from oral infections. Its significance lies in facilitating clinical amelioration through precise diagnosis, identification of microbial pathogens, and elimination of infectious foci. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index