Toxic shock syndrome secondary to a dental abscess

Fardy, C. Helen; Findlay, George; Owen, G.; Shortland, Graham

doi:10.1034/j.1399-0020.1999.280116.x

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3 There are few publications reporting TSS developing after dental interventions. 3,4 We report a rare case of non-menstrual TSS in a 58year-old male patient who had a dental surgery history. Our patient died within a few hours after admission to the ICU with signs of multi-organ failure.…”

Section: Introductionmentioning

confidence: 98%

Fatal, non-menstrual staphylococcal toxic shock syndrome associated with dental implant

Arikan,

Yesilkaya,

Akhan

2024

SAJCRR

View full text Add to dashboard Cite

Staphylococcal toxic shock syndrome (TSS) is a life-threatening disease that characterized by rapid onset of fever, rash, hypotension, and multi-organ failure.A 58-year-old man presented to the emergency department (ED) with complaints of fatigue, myalgia, and blurred vision which had progressed over 48 hours. His medical history included hypertension and dental implant treatment that lasted 15 days. Despite aggressive medical treatment, which included multiple vasopressors, continuous renal replacement therapy in combination with CytoSorb and broad-spectrum antibiotics, he died 16 hours after admission to the intensive care unit. was detected in his blood and ETA cultures after the patient's death.Staphylococcal TSS is classified as menstrual and non-menstrual. Non-menstrual TSS cases have been documented with increasing frequency in the literature. We present a case of Staphylococcal TSS in a 58-year-old male patient who had a dental surgery history. Our patient died within a few hours after admission to the ICU with signs of multi-organ failure. We wanted to draw attention to this issue by presenting our patient.

show abstract

Section: Introductionmentioning

confidence: 98%

Fatal, non-menstrual staphylococcal toxic shock syndrome associated with dental implant

Arikan,

Yesilkaya,

Akhan

2024

SAJCRR

View full text Add to dashboard Cite

show abstract

“…Odontogenic infections that spread beyond the confines of the jawbone pose a serious threat to the airway and have the propensity to cause deep neck infections 36 . Severe complications of odontogenic infections have been recorded in the literature including cerebral abscess 37 , descending mediastinitis 38 , toxic shock syndrome 39 , necrotising faciitis 40 , foetal distress requiring urgent delivery in a pregnant patient 41 , and development of MRSA while in ICU 29 . These adverse outcomes could have been avoided if the patient had sought and received early dental treatment at the onset of symptoms.…”

Section: Introductionmentioning

confidence: 99%

The change in incidence and severity of odontogenic infections: an analysis and cross-sectional study one decade apart

Fu¹

View full text Add to dashboard Cite

BackgroundOdontogenic infections are usually treated by general dentists in the community. However, when the infection spreads beyond the confines of the bony maxilla or mandible, it has the potential to result in life-threatening complications. The diagnosis and treatment of these odontogenic infections that warrant in-hospital treatment remains a significant burden to the health care system. Aims1. To determine if there have been any changes to the demographics and presentation of patients being treated for odontogenic infections at a tertiary hospital in Brisbane, Australia.2. To determine if there are any clinical or biochemical predictors of Intensive Care Unit (ICU) admission.3. To determine if pre-operative imaging, namely Computed Tomography (CT) scans are being appropriately used in the management of these odontogenic infections. MethodsA retrospective chart review was conducted after ethics and site-specific approval. All patients taken to theatre with odontogenic infections between 2003 to 2004 and 2013 to 2014 at Royal Brisbane and Women's Hospital were identified and included in the study.Hospital records were individually reviewed and data de-identified and recorded. A standardised data collection sheet was used to collect details on patient demographics, presentation, prior history, antimicrobial therapy, imaging and treatment outcome. Descriptive statistics were utilised for each recorded attribute, and a chi-square analysis was used to compare the data for the two cohorts. A multiple regression model was used to analyse predictors of ICU admission. ResultsThere was no significant difference in patient demographics between the two cohorts. 101 patients were identified in the earlier cohort, compared to 191 identified in the later cohort.The 2013/14 cohort had a two-fold increase in presentation of lower third-molar related infections (p=0.000), 50% increase in trismus presentation (p=0.000) and 20% increase in submandibular swelling (p=0.010). The percentage of patients admitted to ICU increased by 3.5-fold in the 2013/14 cohort (p=0.000). The overall length of stay increased from 1.7 to 3.5 days (p=0.004). The most significant predictors of ICU admission were lower third molar involvement (p=0.026), dysphagia (p=0.02) and CRP levels exceeding 150mg/L (p=0.039). Preoperative CT scanning increased from 6% in the earlier cohort to 79% in the later cohort. ConclusionThe presentation of odontogenic infection has increased in the decade from 2003/04 to 2013/14. Measures of disease severity have increased, while demographics of the patients remained constant. The utilisation of ICU and the length of hospital stay have increased.There needs to be improved effort in primary preventative measures and early interventions are needed to alleviate the burden of severe odontogenic infections on the public health system. Further research is required to assess whether judicious use of CT scanning, combined with prompt surgical intervention, can lead to improvement in treatment outcomes. Declaration by authorThis ...

show abstract

Toxic shock syndrome secondary to a dental abscess

Cited by 2 publications

References 0 publications

Fatal, non-menstrual staphylococcal toxic shock syndrome associated with dental implant

Fatal, non-menstrual staphylococcal toxic shock syndrome associated with dental implant

The change in incidence and severity of odontogenic infections: an analysis and cross-sectional study one decade apart

Contact Info

Product

Resources

About