‘Bubble sign’: gas-forming bacteria from an odontogenic infection

Richards, Charlotte; Walker, Tom; Girgis, Sarah; Colbert, Serryth

doi:10.1136/bcr-2019-233946

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…E. coli and other Enterobacteriaceae are the most frequent causes of EPN, and they produce gas by fermentation of glucose and lactate in necrotic tissues [ 63 ]. Richards et al [ 64 ] reported a 64-year-old woman who presented to the emergency department with a 6-day history of dental pain and significant right-sided facial swelling. A panoramic radiograph showed periapical radiolucencies associated with her carious lower right first premolar (LR5) and second molar (LR7) which led to a diagnosis of rapidly progressing odontogenic abscess.…”

Section: Resultsmentioning

confidence: 99%

Cavernous Sinus Involvement and Near Miss Mediastinitis following Mandibular Tooth Infection Treated during the COVID-19 Pandemic: Clinical Diagnosis and Treatment

Inchingolo

Ceci

Limongelli

et al. 2022

Case Reports in Dentistry

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Odontogenic infections represent a frequent condition that in some cases, if not treated promptly, can spread quickly to the rest of the body and turn into life-threatening infections. In this work, the case is reported of a 59-year-old woman, diabetic and overweight, who presented to the Odontostomatology and Otolaryngology Section of the Policlinic of Bari with mandibular tooth infection that had developed into a deep neck space infection leading to the involvement of cavernous sinuses and near mediastinum. The diagnosis, the surgical drainage of the phlegmon and removal of infection foci, appropriate control of the airways, and a correct antibiotic therapy made it possible to avoid a potentially fatal condition. Prompt management and early diagnosis of deep space neck infections, such as phlegmon and/or necrotizing fasciitis, with the auxilium of CT scans and tools such as LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis), NLR (Neutrophil-to-Lymphocyte Ratio), and LRINECxNLR scores (Laboratory Risk Indicator for Necrotizing Fasciitis and Neutrophil to Lymphocyte Ratio), are advised to evade delays and complications that could potentially worsen the patient’s outcome.

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Section: Resultsmentioning

confidence: 99%

Cavernous Sinus Involvement and Near Miss Mediastinitis following Mandibular Tooth Infection Treated during the COVID-19 Pandemic: Clinical Diagnosis and Treatment

Inchingolo

Ceci

Limongelli

et al. 2022

Case Reports in Dentistry

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Patient-induced progressive facial subcutaneous emphysema masquerading as odontogenic abscess

Chang

Tsai

2021

BMJ Case Rep

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Facial subcutaneous emphysema (SE) is an uncommon sequelae of dental procedures and often attributed to the use of high-speed air-driven handpieces during surgical extractions, forcing air through fascial spaces. Rarely have there been documented cases of patient-induced SE. In this case report, we present an 18-year-old woman who was referred to the emergency department with a 5-day history of progressive swelling and pain to her right cheek, following a prolonged, but simple extraction of tooth 18. While the dentist and emergency physicians were concerned about an infectious aetiology, history taking, clinical review and imaging corroborated the diagnosis of patient-induced SE secondary to habitual straw use. This report highlights the need for routine postextraction counselling of sinus precautions irrespective of extraction complexity. Additionally, emergency physicians should be aware of SE masquerading as other pathology, including odontogenic abscesses, allergic reactions, angioedema and gas-forming bacterial infections, such as necrotising fasciitis, to ensure appropriate treatment is provided to patients.

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‘Bubble sign’: gas-forming bacteria from an odontogenic infection

Cited by 2 publications

References 4 publications

Cavernous Sinus Involvement and Near Miss Mediastinitis following Mandibular Tooth Infection Treated during the COVID-19 Pandemic: Clinical Diagnosis and Treatment

Cavernous Sinus Involvement and Near Miss Mediastinitis following Mandibular Tooth Infection Treated during the COVID-19 Pandemic: Clinical Diagnosis and Treatment

Patient-induced progressive facial subcutaneous emphysema masquerading as odontogenic abscess

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