先天性心脏病致乳牙牙髓根尖周炎并发多发脑脓肿 1 例报告
A rare case of multiple brain abscesses caused by apical periodontitis of deciduous teeth in congenital heart disease: a case report.
机构信息
Department of Dentistry for Children and Disabled Person, Graduate School of Dental Medicine, Hokkaido University, Sapporo, 060-8586, Japan.
Department of Pediatrics, Japanese Red Cross Kitami Hospital, Kitami, 090-8666, Japan.
出版信息
BMC Oral Health. 2022 Jun 28;22(1):261. doi: 10.1186/s12903-022-02294-z.
BACKGROUND
A brain abscess is a focal infection in which abscesses form in the brain. A brain abscess is a rare but fatal disease when rupture occurs into the ventricles. We report a case of multiple brain abscesses caused by a hematogenous infection from the apical periodontitis of deciduous teeth.
CASE PRESENTATION
The patient was a 7-years and 8-months-old male with congenital heart disease. The patient sought medical attention due to fever and headache, for which he was started on three antibiotics with a diagnosis of multiple brain abscesses. Given that apical periodontitis of deciduous teeth was strongly suspected as the source of the brain abscess, the deciduous teeth were extracted. Immediately after deciduous teeth extraction, the patient's headache and neurological symptoms disappeared.
CONCLUSIONS
After teeth extraction, a clear shrinkage of the brain abscess was observed, and the patient was discharged from the hospital.
背景
脑脓肿是一种局灶性感染，其中脓肿在大脑中形成。脑脓肿是一种罕见但致命的疾病，当破裂进入脑室时。我们报告了一例由乳牙根尖周炎血源性感染引起的多发性脑脓肿。
病例介绍
患者为 7 岁 8 个月男性，患有先天性心脏病。患者因发热和头痛就诊，因诊断为多发性脑脓肿，开始使用三种抗生素治疗。由于强烈怀疑乳牙根尖周炎是脑脓肿的来源，因此拔除了乳牙。在拔除乳牙后，患者的头痛和神经症状立即消失。
结论
在牙齿拔除后，脑脓肿明显缩小，患者出院。
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