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Septic Embolism Associated With Periodontal Disease: A Case Report
Diana V Castro1, Simone Costa1, Odete Gomes1
1Intensive Care Unit, Centro Hospitalar de Leiria, Leiria, PRT.
Abstract:
Parvimonas micra and Provetella oralis are two commensal anaerobic bacteria of the human oral cavity. Anaerobic bacteria infections are uncommon and require a high index of suspicion and a quick start of appropriate treatment. We present a patient with multifocal infiltrates compatible with septic embolism (lung, liver, and spleen emboli) and polymicrobial bacteremia with Parvimonas micra and Provetella oralis. Periodontal disease appears to be the main cause of this disseminated infection.
Insights
Disseminated anaerobic bacterial infections are rare. This case highlights Parvimonas micra and Prevotella oralis causing septic emboli, likely originating from periodontal disease.
Area of Science:
- Oral microbiology
- Infectious diseases
Background:
- Parvimonas micra and Prevotella oralis are common oral commensals.
- Anaerobic bacterial infections necessitate prompt diagnosis and treatment.
Observation:
- A patient presented with multifocal infiltrates indicative of septic embolism.
- The patient exhibited polymicrobial bacteremia involving Parvimonas micra and Prevotella oralis.
Findings:
- Periodontal disease was identified as the probable source of the disseminated infection.
- Septic emboli were observed in the lungs, liver, and spleen.
Implications:
- This case underscores the importance of considering oral bacteria in severe systemic infections.
- Early recognition of periodontal disease as a potential nidus for anaerobic bacteremia is crucial.
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