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Acute Prevertebral Abscesses Caused by Bacterial-infected Traumatic Tooth Fractures
Kazuyuki Matsunaga1, Makoto Takemaru1, Keisuke Yamashiro2
1Department of Neurology, Brain Attack Center Ota Memorial Hospital, Fukuyama, Hiroshima 720-0825, Japan.
Traumatic tooth fractures can lead to acute prevertebral abscesses. Prompt dental extraction and antibiotics effectively treated a case caused by Streptococcus parasanguinis bacteremia.
Area of Science:
- Oral Medicine
- Infectious Diseases
- Neurosurgery
Background:
- Prevertebral abscesses are rare but serious infections.
- Cervical infections can originate from various sources, including dental origins.
Observation:
- A 77-year-old man presented with symptoms initially suggestive of a neck hematoma.
- Blood cultures revealed Streptococcus parasanguinis, an oral bacterium.
- MRI confirmed the presence of prevertebral abscesses.
Findings:
- The patient had traumatic tooth fractures, severe periodontitis, and peri-implantitis.
- Infection with Streptococcus parasanguinis was identified in the oral conditions.
- Treatment involved antibiotics and extraction of fractured teeth.
Implications:
- This case highlights the potential link between dental trauma and deep neck infections.
- Early identification of oral pathogens is crucial for diagnosing prevertebral abscesses.
- Prompt dental intervention alongside medical treatment can lead to favorable outcomes.
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