Deep neck infection of dental origin. A case report
Abstract Introduction and objective: At least 36% of deep cervical infections may have a dental origin. Case description: A 44-year-old woman who consulted for dysphonia of a week of evolution. Rhinofibrolaryngoscopy revealed left arytenoid edema and paralysis of the left hemilarynx and normal neck. A computerized axial tomography was performed, finding left parapharyngeal abscess. Systemic and surgical antibiotic treatment was performed with cervicotomy and drainage of the abscess in whose culture Prevotella buccae was isolated. Comments: The result of the culture helped establish the dental origin of the infection. In the dental history, a history of pericoronitis associated with 3.8 was found. Conclusions: The diagnosis of the dental origin of a deep cervical infection is established by dental history, oral examination, oral radiology and microbiological culture.
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Yanagisawa M, Kuriyama T, Williams DW, Nakagawa K, Karasawa T. Proteinase activity of prevotella species associated with oral purulent infection. Curr Microbiol. 2006 May;52(5):375–8.
Chen T, Dewhirst FE, Paster BJ, Tanner A, Wade W. HOMD: Human Oral Microbiome Database [Internet]. All Human Oral Microbial Taxa. 2017 [cited 2017 Nov 25]. Available from: http://www.homd.org/
Gagnier JJ, Kienle G, Altman DG, Moher D, Sox H, Riley D, et al. The CARE guidelines: consensus-based clinical case reporting guideline development. BMJ Case Rep [Internet]. 2013 Oct 23 [cited 2017 Nov 4];2013. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24155002
Maestre JR, Bascones A, Sánchez P, Matesanz P, Aguilar L, Giménez MJ, et al. Odontogenic bacteria in periodontal disease and resistance patterns to common antibiotics used as treatment and prophylaxis in odontology in Spain. Rev Esp Quimioter [Internet]. 2007 Mar;20(1). Available from: http://www.seq.es/seq/0214-3429/20/1/61.pdf
McBain AJ, Bartolo RG, Catrenich CE, Charbonneau D, Ledder RG, Gilbert P. Growth and molecular characterization of dental plaque microcosms. J Appl Microbiol. 2003;94(4):655–64.
Nóbrega LMM, Montagner F, Ribeiro AC, Mayer MAP, Gomes BPFA. Molecular Identification of Cultivable Bacteria From Infected Root Canals Associated With Acute Apical Abscess. Braz Dent J. 2016 Jun;27(3):318–24.
Pardal-Peláez B, Pardal-Refoyo JL, Ochoa-Sangrador C, González-Serrano J, Montero-Martín J, López-Quiles J. Analysis of the prevalence of dental origin of deep neck infections. J Oral Maxillofac Surgery, Med Pathol. 2018 Mar;30(2):180–6.
Tek M, Metin M, Sener I, Bereket C, Tokac M, Kazancioglu HO, et al. The predominant bacteria isolated from radicular cysts. Head Face Med [Internet]. 2013 Sep;9(1):25. Available from: http://head-face-med.biomedcentral.com/articles/10.1186/1746-160X-9-25
Yanagisawa M, Kuriyama T, Williams DW, Nakagawa K, Karasawa T. Proteinase activity of prevotella species associated with oral purulent infection. Curr Microbiol. 2006 May;52(5):375–8.
Pardal-Peláez, B. (2018). Deep neck infection of dental origin. A case report. Revista ORL, 11(2), 225–229. https://doi.org/10.14201/orl.18991
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