Brain Abscess Potentially Resulting from Odontogenic Focus: Report of Three Cases and a Literature Review

Akashi, Mitsuru; Tanaka, Kazuhiro; Kusumoto, Junya; Furudoi, Shungo; Hosoda, Kohkichi; Komori, Takahide

doi:10.1007/s12663-016-0915-5

Cited by 61 publications

(57 citation statements)

References 20 publications

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“…Among these two sources of CNS infections (oral and sinusal) there is an important difference regarding microbiology. Streptococcus pneumoniae, Haemophilus influenzae and Moraxella catarrhalis are commonly associated with sinusitis while odontogenic infection is a mixed aerobic/anareobic infection (Eufinger & Machtens, 2001;Akashi et al, 2017). Common bacteria reported in oral infections, include gram positive organisms such as Streptococcus viridans, particularly the anginosus subgroup, and anaerobes such as Peptostreptococcus, Prevotella and Fusobacterium (Moazzam et al).…”

Section: Discussionmentioning

confidence: 99%

Isolated Meningitis and Lacrimal Gland Abscess due to Odontogenic Sinusitis: Case Report

Gradoni

Latini

Battistoni

et al. 2020

Int. J. Odontostomat.

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Our objective was report an extremely rare case of isolated meningitis and suppurative dacrioadenitis as consequences of odontogenic sinusitis. We describe the diagnostic tools including imaging and culture, as well as surgical treatment and follow-up. Our final diagnosis was odontogenic sinusitis caused by Streptococcus Anginosus complicated by isolated meningitis and lacrimal gland abscess. Urgent surgical treatment to restore the paranasal sinuses and drainage of the lacrimal gland was performed. Culture from purulent material collected from maxillary sinus indicated the targeted therapy. Clinical assessment and imaging obtained 20 days after surgery demonstrated successful results. This case emphasizes the importance of evaluating intracranial complications of rinosinusitis, the need to search for a dental infection when a maxillary sinusitis is encountered, the key role of a thorough diagnostic workup in order to plan a comprehensive and effective surgical treatment, as well as targeted medical therapy.

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Section: Discussionmentioning

confidence: 99%

Isolated Meningitis and Lacrimal Gland Abscess due to Odontogenic Sinusitis: Case Report

Gradoni

Latini

Battistoni

et al. 2020

Int. J. Odontostomat.

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“…5,6 Early detection can prevent further damage and spread to the cerebrum. 7,8 Urgent referral to a dentist or maxillofacial surgeon for diagnostic work-up and further treatment is essential in order to decrease the chance of serious complications. 9 The treatment procedure for a dental abscess, incision and drainage along with a root canal treatment, is straight forward if the patient is diagnosed quickly.…”

Section: Discussionmentioning

confidence: 99%

Cerebral abscess as a complication of a dental abscess

Regeer¹,

Groote²

2019

Int J Contemp Pediatr

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A dental abscess, most often caused by inadequate oral hygiene, can be easily treated if timely diagnosed. However, delay in treatment can lead to bacterial dissemination and serious complications, such as development of a cerebral abscess. Authors retrospectively analyzed a case of a 15-year-old boy admitted to our pediatrics department with a cerebral abscess due to a dental abscess. A 15-year-old patient presented with supra-orbital swelling which due to previous delay in dental treatment had caused dental, orbital and cerebral abscess formation. After extraction of the affected tooth and six weeks of IV antibiotics the size of the cerebral abscess was practically unchanged. An epidural drainage and further treatment with IV antibiotics were needed to eliminate the cerebral abscess. The urgency of dental treatment to inhibit further microbial spread is of great importance and delay can have serious consequences.

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“…Chotai et al reviewed eight previously reported cases of brain abscess caused by G. morbillorum along with their own case; they found that most of the cases (62.5%) were associated with odontogenic infections and previous history of dental procedures. Parvimonas micra is an anaerobic Gram‐positive coccus also isolated from patients with brain abscess caused by odontogenic infection . Parvimonas micra is usually isolated from polymicrobial infections, and dental procedures were found to be risk factors for infection .…”

Section: Discussionmentioning

confidence: 99%

Intracranial subdural abscess with polymicrobial infections due to frontal sinusitis in an adolescent: life‐threatening complication of a common disease

Hibi

Amakusa

2018

Clinical Case Reports

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Brain Abscess Potentially Resulting from Odontogenic Focus: Report of Three Cases and a Literature Review

Cited by 61 publications

References 20 publications

Isolated Meningitis and Lacrimal Gland Abscess due to Odontogenic Sinusitis: Case Report

Isolated Meningitis and Lacrimal Gland Abscess due to Odontogenic Sinusitis: Case Report

Cerebral abscess as a complication of a dental abscess

Intracranial subdural abscess with polymicrobial infections due to frontal sinusitis in an adolescent: life‐threatening complication of a common disease

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