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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.
Abstract:
We report a case of acute prevertebral abscess caused by traumatic tooth fractures in a 77-year-old Japanese man. After being transferred to our hospital the patient was initially diagnosed with a neck hematoma; however, blood culture showed Streptococcus parasanguinis, an oral bacterium, and an MRI examination suggested prevertebral abscesses. Tooth fractures, severe periodontitis, and peri-implantitis with Streptococcus parasanguinis were observed. Antibiotics were administered and fractured teeth were extracted. The patient's condition then gradually improved. We concluded that bacteremia caused by traumatic tooth fractures induced the acute prevertebral abscesses.
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