Brain abscess of a very elderly patient likely caused by maxillary osteomyelitis from odontogenic infection: A case report

Miyazaki, Ryo; Nakai, Yasuhiro; Houchi, Yuuri; Tanaka, Mio; Nakai, Fumi; Iwasaki, Atsushi; Ogawa, Takaaki; Ohbayashi, Yumiko; Miyake, Minoru

doi:10.1016/j.ajoms.2018.09.001

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…A infecção odontológica, quando não contida através de meios cirúrgicos e/ou antibióticos, pode espalhar-se para os espaços biológicos, podendo ser o espaço submandibular, seio maxilar, mediastino e até mesmo o cérebro [58][59][60] .…”

Section: Discussionunclassified

Infecções odontogênicas, da etiologia ao tratamento: uma revisão da literatura

Fonseca

Francisco

Santos

et al. 2020

BJD

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Objective: To diagnose odontogenic infections early and to approach, according to the severity of the infection, a correct treatment plan, in a way that correlates a possible link between the patient's systemic condition and the infection, indicating the use of antibiotic therapy and / or surgical techniques. Method: Literature review resulting from research conducted through Medline platforms via Pubmed, SCIELO and LILACS. Literature review: Factors that could be avoided according to early diagnosis and pre-existing factors that have the percentage of accentuating these infections are reported. As well as, it has been presenting its possible clinical manifestations and forms of diagnosis. Discussion: According to the signs and symptoms related to the case, what treatment measures should be taken in order to prevent or minimize the development of more severe complications. Conclusion: The best resolution is that attention and investment are focused on preventing the infection that occurs in primary care, because the sooner the treatment is performed, the fewer the complications of the clinical case.

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Section: Discussionunclassified

Infecções odontogênicas, da etiologia ao tratamento: uma revisão da literatura

Fonseca

Francisco

Santos

et al. 2020

BJD

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“…As bacteria and their byproduct penetrate through the surrounding tissue, the infection spreads rapidly among the potential spaces due to loose anatomical structure of soft tissues, causing symptoms such as swelling and erythema of involved skin, limited mouth opening and swallowing difficulty [2]. For infections in lower head and neck, the airway could even be obstructed [3][4][5]. Other life-threatening complications include osteomyelitis, descending mediastinitis, necrotizing fasciitis, sepsis and Lemierre's syndrome [6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of Multifunctional Irrigation‐assisted Vacuum Drainage, Vacuum Sealing Drainage and the Penrose Drain in Treating Severe Multi‐space Deep Fascial Infection in the Head and Neck

Qian

He²,

Qi³

et al. 2022

World j. surg.

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Background We aimed to compare multifunctional irrigation‐assisted vacuum drainage (MIVD), vacuum sealing drainage (VSD) and the Penrose drain in treating severe multi‐space deep fascial infection (DFI) in head and neck. Methods A retrospective study was conducted on 113 patients who had suffered from severe multi‐space DFI in head and neck and underwent surgical treatment. Patients were divided into the MIVD group, the VSD group, and the Penrose group according to their treatment. Baseline characteristics and clinical outcome data regarding infection control, clinicians’ workload, surgical procedure required, and cost were analyzed. Results Duration of antibiotic administration was significantly shorter using MIVD and VSD than Penrose drains (p = 0.002 with MIVD, p = 0.008 with VSD). Hospital stay in the MIVD group was shorter than the Penrose group (p = 0.034). Compared to the other two groups, more times of manual irrigation were needed in higher frequency in the Penrose group (p < 0.001). Longer Incision and more surgical operation were required in the VSD group than the other two groups (p < 0.001). The treatment cost in the VSD group was higher than the MIVD group (p = 0.045) and the Penrose group (p < 0.001). Conclusions In the treatment of severe multi‐space DFI in head and neck, MIVD and VSD are superior to the Penrose drain in infection control and reduction in clinicians’ workload. Meanwhile, MIVD, with fewer surgical procedures required and less cost, seems to be a more promising method than VSD.

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