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Multiple Deep-seated Dentofacial Abscesses Caused by Multidrug-resistant Viridans Group Streptococci
Shinnosuke Fukushima1, Hideharu Hagiya1, Yuki Mizuta1
1Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.
Internal Medicine (Tokyo, Japan)
|May 12, 2020
Summary
Severe odontogenic infections can be life-threatening. This case highlights successful treatment of multidrug-resistant bacteria causing dentofacial abscesses through surgery and antibiotics.
Area of Science:
- Oral and Maxillofacial Surgery
- Infectious Diseases
- Endodontics
Background:
- Odontogenic infections, often stemming from dental caries and periodontal disease, pose significant health risks.
- Multidrug-resistant bacteria present a growing challenge in treating these infections.
Observation:
- A 71-year-old female patient with type 2 diabetes and on hemodialysis presented with severe facial pain, swelling, and an extraoral fistula.
- The dentofacial abscesses were primarily caused by multidrug-resistant Streptococcus oralis.
Findings:
- The patient underwent three surgical debridement procedures and a partial mandibulectomy.
- A 12-week course of antimicrobial therapy was administered concurrently.
- These combined treatments led to the amelioration of the multiple dentofacial abscesses.
Implications:
- Early diagnosis and a combined surgical and antimicrobial approach are crucial for managing complex odontogenic infections.
- This case underscores the importance of considering multidrug-resistant organisms in severe dental infections, particularly in immunocompromised patients.
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