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Multiple brain abscesses treated by extraction of the maxillary molars with chronic apical lesion to remove the source of infection

Title
Multiple brain abscesses treated by extraction of the maxillary molars with chronic apical lesion to remove the source of infection
Author
황경균
Keywords
Brain abscess; Odontogenic infection; Extraction
Issue Date
2019-07
Publisher
SPRINGEROPEN
Citation
Maxillofacial Plastic Reconstructive Surgery, v. 41, no. 1, article no. 25
Abstract
Abstract Background: Brain abscess is a life-threatening condition that occurs due to complications during a neurosurgical procedure, direct cranial trauma, or the presence of local or distal infection. Infection in the oral cavity can also be considered a source of brain abscess. Case presentation: A 45-year-old male patient was transported with brain abscess in the subcortical white matter. Navigation-guided abscess aspiration and drainage was performed in the right mid-frontal lobe, but the symptoms continued to worsen after the procedure. A panoramic radiograph showed alveolar bone resorption around the maxillary molars. The compromised maxillary molars were extracted under local anesthesia, and antibiotics were applied based on findings from bacterial culture. A brain MRI confirmed that the three brain abscesses in the frontal lobe were reduced in size, and the patient’s symptoms began to improve after the extractions. Conclusion: This is a rare case report about multiple uncontrolled brain abscesses treated by removal of infection through the extraction of maxillary molars with odontogenic infection. Untreated odontogenic infection can also be considered a cause of brain abscess. Therefore, it is necessary to recognize the possibility that untreated odontogenic infection can lead to serious systemic inflammatory diseases such as brain abscess. Through a multidisciplinary approach to diagnosis and treatment, physicians should be encouraged to consider odontogenic infections as a potential cause of brain abscesses.
URI
https://jkamprs.springeropen.com/articles/10.1186/s40902-019-0208-2https://repository.hanyang.ac.kr/handle/20.500.11754/152031
ISSN
2288-8101; 2288-8586
DOI
10.1186/s40902-019-0208-2
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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