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Pelvic infection caused by periodontitis: A case report
Cuihong Tian1,2,3,4, Hongle Yan3, Ping Tang5
1Clinical Research Center, Luohu Clinical College of Shantou University Medical College, Shenzhen, Guangdong 518001, China.
Case Reports in Women'S Health
|December 4, 2023
Summary
Periodontitis can lead to rare pelvic infections. Metagenomic sequencing identified oral bacteria, like Filifactor alocis, in a patient
Area of Science:
- Periodontology and Infectious Diseases: Investigating the extrabuccal spread of oral pathogens.
Background:
- Periodontitis, a common oral infection, can cause systemic complications like endocarditis and brain abscesses.
- Pelvic infections originating from periodontitis are exceptionally rare, posing diagnostic challenges.
Observation:
- A 48-year-old woman presented with abdominal pain and distention post-dental implantation.
- Pelvic imaging revealed inflammatory effusions, surgically removed and analyzed.
- Metagenomic next-generation sequencing (mNGS) was employed for pathogen identification.
Findings:
- mNGS identified numerous oral pathogens, including Filifactor alocis, in the pelvic effusions.
- The patient was diagnosed with a pelvic infection secondary to periodontitis.
Implications:
- This case highlights the potential for periodontitis to cause rare extrabuccal infections, specifically pelvic infections.
- Clinicians should consider periodontitis as a potential source for pelvic infections, especially in patients with a history of oral procedures.
- Enhanced vigilance for systemic complications in patients with periodontitis is crucial.
