Brain Abscess of Dental Origin: A Case Report and Literature Review

Selmi wissal
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Abstract

Introduction: Brain abscess (BA)of dental origin is a rare but potentially life-threatening complication of odontogenic infection that requires immediate neurosurgical attention. It is defined as an encapsulated collection of pus in various areas of the brain. The infectious process spreads from the dental site and occurs in 2 ways: haematogenous route or by contiguity. Treatment should ideally be based on the etiological factor excision, combined with drainage and adjuvant antibiotic therapy. The aim of this article was to report a case of frontal brain abscess of dental origin and to review the literature. Case report: We present the case of a 36-year-old man diagnosed with a brain abscess located in the frontal lobe and caused by a periodontal lesion of the right upper first molar. The final diagnosis was established due to the availability of computed tomography and magnetic resonance imaging. Drainage of the pus combined with extraction of the tooth and antibiotic therapy was followed by an excellent recovery. Clinical and radiological features, treatment and follow-up data were documented. A review of the literature using the PubMed database was performed Conclusion: Oral infections can lead to life-threatening infections, such as brain abscesses. Early detection of this condition through correct diagnosis is essential to give the patient the best treatment; in addition, improving of the oral environment and treating oral infections is highly recommended to limit this serious condition.
牙源性脑脓肿1例报告及文献复习
牙源性脑脓肿(BA)是一种罕见但可能危及生命的牙源性感染并发症,需要立即进行神经外科治疗。它被定义为大脑不同区域的脓液的封装集合。感染过程从牙齿部位扩散并以两种方式发生:血液途径或邻近途径。理想的治疗应以病因切除为基础,结合引流和辅助抗生素治疗。本文的目的是报告一例牙源性额脑脓肿,并复习文献。病例报告:我们提出的情况下,36岁的男子诊断为脑脓肿位于额叶和引起的牙周病变的右上第一磨牙。最终诊断是由于计算机断层扫描和磁共振成像的可用性。引流脓液,拔牙和抗生素治疗后恢复良好。记录临床和放射学特征、治疗和随访资料。使用PubMed数据库对文献进行了回顾,结论:口腔感染可导致危及生命的感染,如脑脓肿。通过正确诊断及早发现这种疾病对于给予患者最佳治疗至关重要;此外,强烈建议改善口腔环境和治疗口腔感染,以限制这种严重的情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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