Severe infections of the head and neck resulting from gas-forming organisms: report of case

Schroeder, Dawn C.; Sarha, Eugene D.; Hendrickson, Dean A.; Healey, Kathleen

doi:10.14219/jada.archive.1987.0046

The Journal of the American Dental Association

1987

DOI: 10.14219/jada.archive.1987.0046

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Severe infections of the head and neck resulting from gas-forming organisms: report of case

Dawn C. Schroeder

Eugene D. Sarha²,

Dean A. Hendrickson³

et al.

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Cited by 2 publications

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“…The organism partieipates in severe polymicrobial infections in usually sterile body sites, including abseesses of the brain, peritoneal, abdominal and pelvic regions (6,27,31,56), septicemias (27), infected epidermal eysts (7), human bite wounds (18), obstetric and gynecological infections (4), ear infections (4), sinus infections (4), vertebral osteomyelitis (34), and hematogenotis prosthetic joint infections (3,44). In the oral cavity, P. micros has been associated with endodontic abscesses (9,55,57), periodontal abscesses (33), pedtonsillar abscesses (31), mandibular osteomyelitis (12), acute suppurative parotitis (2), fascial plane infections of the head and neck region (12,22,27,38), and osseointegrated dental implants failing due to microbial infection (\). P. micros also has been implicated in the pathogenesis of human periodontitis (14,28,29,36,48,49,57); however, many aspects of its periodontopathic potential remain to be elucidated.…”

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confidence: 99%

Peptostreptococcus micros in human periodontitis

Rams

Feik

Listgarten

et al. 1992

Oral Microbiology and Immunology

123

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Peptostreptococcus micros is a recognized pathogen in medical infections, and its association with progressive periodontitis was examined in this study. P. micros was isolated from paper-point subgingival samples on anaerobic enriched blood agar plates and identified on the basis of cellular and colonial morphology and selected biochemical tests. In a cross-sectional study involving 907 people with advanced adult periodontitis, 127 with early-onset periodontitis, and 12 with localized juvenile periodontitis, P. micros in these patient groups occurred with a prevalence of 58-63%. In culture-positive patients, P. micros averaged 12-15% of total viable counts. P. micros demonstrated similar occurrence and proportional recovery in all age groups. In a longitudinal study of 91 adult periodontitis patients on maintenance therapy, P. micros demonstrated a significantly higher prevalence in disease-active than in disease-inactive patients (47% vs 14%). Mechanical subgingival debridement and 0.12% chlorhexidine pocket irrigation was unable to eradicate subgingival P. micros from 18 of 22 adult periodontitis patients. In vitro antimicrobial susceptibility testing showed P. micros to be sensitive to therapeutic levels of penicillin, clindamycin and metronidazole. Our findings indicate that P. micros is a potential pathogen in adult periodontitis. The methods for its eradication from subgingival sites remain to be determined.

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mentioning

confidence: 99%

Peptostreptococcus micros in human periodontitis

Rams

Feik

Listgarten

et al. 1992

Oral Microbiology and Immunology

123

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Treatment of Palatal Abscess of Odontogenic Origin in Children: Case Reports

Ryu¹,

Kim²,

Kim³

et al. 2011

THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY

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Most of the intraoral infections origin in odontogenic infection. Odontogenic infection spreads out along the least resistant path. In maxilla, the thickness between periapical area and cortical bone is narrower on the buccal side than the palatal side. So infection usually spreads out along the buccal side rather than the palatal side. The failure of root canal treatment more frequently occurs on the buccal root compared to the palatal root.So the palatal abscess is rarer than the buccal abscess.It is difficult to differential diagnosis palatal abscess from salivary gland tumors, benign neural tumors and cysts on the palate. Therefore, when the palatal swelling is observed in children, you need to prevent the systemic spread of infection by early diagnosis of the odontogenic palatal abscess.In these cases, the patient who complained of the pain in deciduous teeth and the palatal swelling was diagnosed with odontogenic palatal abscess. The patient was treated with extraction and antibiotic medication. The palatal abscess was resolved, and we report after treatments. Abstract

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Severe infections of the head and neck resulting from gas-forming organisms: report of case

Cited by 2 publications

References 13 publications

Peptostreptococcus micros in human periodontitis

Peptostreptococcus micros in human periodontitis

Treatment of Palatal Abscess of Odontogenic Origin in Children: Case Reports

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