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牙源性脑脓肿

Brain Abscess Secondary to a Dental Infection.

作者信息

Costa Mendes Léonor, Vaysse Frédéric, Maret Delphine

机构信息

Centre Hospitalier Universitaire, UFR Odontologie, Université Paul Sabatier, Toulouse, France.

Centre Hospitalier Universitaire, Laboratoire Anthropologie Moléculaire et Imagerie de Synthèse, UFR Odontologie, Université Paul Sabatier, Toulouse, France.

出版信息

Case Rep Emerg Med. 2020 Feb 6;2020:3248174. doi: 10.1155/2020/3248174. eCollection 2020.

Abstract

The risk of a brain abscess is a complication of odontogenic infection that is rarely considered by physicians and little spoken of, yet treating dental infections may avoid a potentially life-threatening condition. We report a case of 7-year-old boy with a brain abscess secondary to a dental infection. He was immediately taken to the operating theatre for drainage and cleaning of the abscess. A dental examination revealed root abscesses on temporary molars, which were extracted under general anaesthetic. Two months after his admission, the child was switched to oral antibiotherapy and could return home. A brain abscess represents a life-threatening disease. Childhood brain abscess is uncommon but may be encountered by all physicians and students as a clinical emergency. It is indispensable that physicians finding symptoms similar to those in this case study refer the patient for emergency care and that possible dental foci of infection be assessed, whether or not the patient is being followed for dental care.

摘要

脑脓肿风险是牙源性感染的一种并发症,医生很少考虑到这一点,也很少提及,但治疗牙齿感染可能避免一种潜在的危及生命的状况。我们报告一例7岁男孩因牙齿感染继发脑脓肿的病例。他立即被送往手术室进行脓肿引流和清理。牙科检查发现乳磨牙有牙根脓肿,在全身麻醉下将其拔除。入院两个月后,该患儿改用口服抗生素治疗,随后可以回家。脑脓肿是一种危及生命的疾病。儿童脑脓肿并不常见,但所有医生和医学生都可能遇到这种临床急症。发现与本病例研究中类似症状的医生必须将患者转诊进行急诊治疗,并评估可能的牙齿感染病灶,无论患者是否正在接受牙科护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df9d/7026700/04aef559ce32/CRIEM2020-3248174.001.jpg

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