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Maxillary Teeth Abscesses Result in Atypical Liver Abscesses
Ellecia Rainwater1, Vritti Gupta1, Renuga Vivekanandan2
1Department of Internal Medicine, CHI Health, Creighton University.
Cureus
|May 26, 2018
Summary
Pyogenic liver abscesses are rare and often misdiagnosed, leading to delayed treatment. This case highlights untreated dental infections as a source of serious systemic infections, even in the elderly.
Area of Science:
- Internal Medicine
- Infectious Diseases
- Dentistry
Background:
- Pyogenic liver abscesses are uncommon in the United States, frequently leading to misdiagnosis and delayed treatment.
- Delayed diagnosis of hepatic abscesses contributes to increased patient morbidity and mortality.
Observation:
- This case report details an elderly patient presenting with an atypical hepatic abscess.
- The patient's dental infections, specifically periapical abscesses, were identified as the source of the liver infection.
Findings:
- The hepatic abscess was seeded via the portal bloodstream from untreated dental infections.
- Viridans streptococci, originating from dental abscesses, can cause serious systemic infections.
Implications:
- Untreated dental infections pose a significant risk for systemic spread and severe outcomes.
- This case underscores the importance of considering dental health as a potential source for intra-abdominal infections, particularly in elderly patients.
- Early recognition and treatment of dental infections are crucial to prevent systemic complications like hepatic abscesses.
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