Andersen W C, Horton H L
Yale-New Haven Hospital, New Haven, CT.
J Periodontol. 1990 Apr;61(4):243-7. doi: 10.1902/jop.1990.61.4.243.
This paper reports on a case of a 70-year-old physician diagnosed with a parietal lobe abscess following such treatment. After stereotactic biopsy and drainage and a 6-week course of intravenous antibiotic treatment, the patient recovered with minimal neurologic deficits. Although brain abscesses are not commonly encountered in practice, clinicians must be aware of the potential virulence of the anaerobic components of the periodontal pocket and the possibility of resulting systemic infection, which can produce a life-threatening situation.
本文报告了一例70岁医生在接受此类治疗后被诊断为顶叶脓肿的病例。经过立体定向活检和引流以及为期6周的静脉抗生素治疗,患者康复,仅遗留轻微神经功能缺损。尽管脑脓肿在临床实践中并不常见,但临床医生必须意识到牙周袋中厌氧菌成分的潜在毒力以及由此导致全身感染的可能性,而这种感染可能会引发危及生命的情况。