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Multiple brain abscess from dental origin: case report and literature review

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Abstract

Background

Brain abscess of dental origin is a rare situation and deserves attention due to its high mortality rate even when adequate treatment is done. Few reports are available when dental origin is the main cause of this infection.

Case report

We present the case of a 70-year-old man diagnosed with cerebral abscess caused by apical lesions located at superior and inferior teeth. The three lesions containing pus were drained from anterior and posterior brain region and the laboratory evaluation revealed the presence of Streptococcus viridians and Bacteroides. Postoperative period was uneventful with excellent recovery after 1 year of surgery. Final diagnosis was able to be done due to excellent image exams availability like computer tomography and magnetic resonance using diffusion and perfusion techniques.

Discussion

The early detection of this pathology with the correct diagnosis essential to give the patient the best treatment including antimicrobial drugs and drainage is of extreme importance.

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Conflict of interests

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Authors and Affiliations

  1. School of Dentistry at Araçatuba, Sao Paulo State University, Araçatuba, SP, Brazil

    Marcelo Rodrigues Azenha & Idelmo Rangel Garcia Jr.

  2. Santa Casa Hospital, Araçatuba, São Paulo, Brazil

    Guilherme Homsi

  3. Rua Lafaiete 1616, Apto 602, CEP 14015-080, Ribeirao Preto, São Paulo, Brazil

    Marcelo Rodrigues Azenha

Authors
  1. Marcelo Rodrigues Azenha
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  2. Guilherme Homsi
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  3. Idelmo Rangel Garcia Jr.
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Correspondence to Marcelo Rodrigues Azenha.

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Azenha, M.R., Homsi, G. & Garcia, I.R. Multiple brain abscess from dental origin: case report and literature review. Oral Maxillofac Surg 16, 393–397 (2012). https://doi.org/10.1007/s10006-011-0308-3

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  • DOI: https://doi.org/10.1007/s10006-011-0308-3

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