Department of Oral and Craniomaxillofacial Surgery, Paracelsus Medical University Salzburg, Müllner Hauptstraße 48, 5020 Salzburg, Austria.
Br J Oral Maxillofac Surg. 2021 Jan;59(1):109-110. doi: 10.1016/j.bjoms.2020.06.025. Epub 2020 Jul 4.
We report the case of a patient presenting with severe headache and progressive aphasia due to a large brain abscess. End-stage peri-implantitis on a dental implant in the upper jaw with contact to the maxillary sinus floor causing maxillary and frontal sinusitis could be identified as the source of infection. Multidisciplinary treatment included broad-spectrum antibiotics, craniotomy for abscess drainage, sinus surgery, and the removal of the implant. Despite all the care taken, the patient died, underlining the importance of oral hygiene and a frequent recall in patients with dental implants. To the best of our knowledge, this is the first report of a brain abscess caused by peri-implantitis in the literature.
我们报告了一例因大脑脓肿导致严重头痛和进行性失语的患者。上颌骨中一颗与上颌窦底接触的牙种植体发生终末期种植体周围炎导致上颌窦和额窦炎，被认为是感染的来源。多学科治疗包括广谱抗生素、脓肿引流的开颅手术、鼻窦手术和种植体的去除。尽管采取了所有的护理措施，患者还是死亡了，这凸显了口腔卫生和对牙种植体患者进行定期回访的重要性。据我们所知，这是文献中首例由种植体周围炎引起的脑脓肿报告。
