Odontogenic infection with cervical extension in a young patient: case report

Authors

  • Vinícius Hirabayashi Nogueira Universidade Federal de Mato Grosso do Sul (UFMS) 79070-900 Campo Grande – MS, Brasil https://orcid.org/0000-0001-8964-8353
  • Gustavo Silva Pelissaro Universidade Federal de Mato Grosso do Sul (UFMS) 79070-900 Campo Grande – MS, Brasil https://orcid.org/0000-0003-3475-6001
  • Janayna Gomes Paiva-Oliveira Universidade Federal de Mato Grosso do Sul (UFMS) 79070-900 Campo Grande – MS, Brasil
  • Maisa de Oliveira Aguillera Universidade Federal de Mato Grosso do Sul (UFMS) 79070-900 Campo Grande – MS, Brasil https://orcid.org/0000-0003-0055-6984
  • Francielly Thomas Figueiredo Universidade Federal de Mato Grosso do Sul (UFMS) 79070-900 Campo Grande – MS, Brasil
  • Julio Cesar Leite da Silva Universidade Federal de Mato Grosso do Sul (UFMS) 79070-900 Campo Grande – MS, Brasil
  • Ellen Cristina Gaetti Jardim Universidade Federal de Mato Grosso do Sul (UFMS) 79070-900 Campo Grande – MS, Brasil https://orcid.org/0000-0003-2471-465X

DOI:

https://doi.org/10.21270/archi.v12i2.5989

Keywords:

Infections, Abscess, Surgery, Oral

Abstract

Odontogenic infections of major proportions have always attracted attention because of    their etiology, signs and symptoms, in addition to their rapid evolution and the possibility of leading to death. The infection can be located specifically in one dental element or even communicate and reach regions beyond the oral cavity, this is due to spaces and anatomical structures that exist in the head and neck complex. The present work is a clinical report of a 22-year-old patient with odontogenic infection with cervical extension and extensive volumetric increase in the submental region. The patient was seen in a hospital environment, with severe pain, significant volumetric increase, trismus, difficulty eating, and poor oral hygiene. The complexity of the case was relevant because it was necessary to perform a tracheostomy, besides the exodontia of elements 36 and 38, and the cervical drainage. After the surgical intervention, the patient remained stable and recovered well, being carried out procedures and care such as: milking of purulent exudate, change of dressings, physiotherapy of mouth opening, warm compress in the region of edema.

Downloads

Download data is not yet available.

References

Eckert AW, Just L, Wilhelms D, Schubert J. Odontogene Infektionen - Teil I: Zur Wertigkeit der Erregerbestimmung bei odontogenen Infektionen in der klinischen Routine [Dentogenic infections-part I: the significance of bacterial isolation of dentogenic infections under routineous conditions]. Wien Med Wochenschr. 2012;162(13-14):316-20.

Hassam SF, Dos Santos MCC, Coelho PAC, Schiavotelo TCL, Cardoso JA, De Farias JG. Abscesso dentoalveolar crônico em paciente pediátrico com drenagem rara. Rev Cubana Estomatol., 2019;56(4):e2043.

Jardim ECG, Santiago Junior JF, Guastaldi FPS, Jardim Junior EG, Garcia Junior IR, Shinohara EH. Infecções odontogênicas: relato de caso e implicações terapêuticas. Rev Odontol Araçatuba. 2011;32(1):40-3.

Azenha MR, Aparecida S, Caliento R, Guzman S. Celulite facial de origem odontogênica. Apresentação de 5 casos Odontogenic facial cellulitis: a presentation of five cases Marcelo Rodrigues Azenha I |Suzie Aparecida de Lacerda I |André Luís Bim II |Rubens Caliento II |Silvano Guzman III. 5458:41-8.

Holmes CJ, Pellecchia R. Antimicrobial Therapy in Management of Odontogenic Infections in General Dentistry. Dent Clin North Am; 2016;60(2):497-507.

Alves IS, Vendramini DFV, Leite CC, Gebrim EMMS, Passos UL. Achados odontológicos em imagens de face e pescoço. Radiol Bras. 2021;54(2):107-14.

Taub D, Yampolsky A, Diecidue R, Gold L. Controversies in the Management of Oral and Maxillofacial Infections. Oral Maxillofac Surg Clin North Am. 2017;29(4):465-73.

Bertossi D, Barone A, Iurlaro A, Marconcini S, De Santis D, Finotti M, et al. Odontogenic orofacial infections. J Craniofac Surg. 2017;28(1):197-202.

Zawiślak E, Nowak R. Odontogenic Head and Neck Region Infections Requiring Hospitalization: An 18-Month Retrospective Analysis. Biomed Res Int. 2021;2021:7086763.

Bhagania M, Youseff W, Mehra P, Figueroa R. Treatment of odontogenic infections: An analysis of two antibiotic regimens. J Oral Biol Craniofacial Res. 2018;8(2):78–81.

Farmahan S, Tuopar D, Ameerally PJ. The clinical relevance of microbiology specimens in head and neck space infections of odontogenic origin. Br J Oral Maxillofac Surg. 2014;52(7):629–31.

Blankson PK, Parkins G, Boamah MO, Abdulai AE, Ahmed AM, Bondorin S, et al. Severe odontogenic infections: A 5-year review of a major referral hospital in Ghana. Pan Afr Med J. 2019;32:1-8.

Oliveira RL, Raffaele RM, Baldo ME, EC Jardim. Rev Bras Ter Intensiva. 2020;32(1):161-62

Chowdhury S, Chakraborty P pratim. Universal health coverage There is more to it than meets the eye. J Fam Med Prim Care .2017;6(2):169–70

Ogle OE. Odontogenic infections. Dent Clin North Am. 2017;61(2):235-52.

Alotaibi N, Cloutier L, Khaldoun E, Bois E, Chirat M, Salvan D. Criteria for admission of odontogenic infections at high risk of deep neck space infection. Eur Ann Otorhinolaryngol Head Neck Dis. 2015;132(5):261-64.

Lypka M, Hammoudeh J. Dentoalveolar Infections. Oral Maxillofac Surg Clin North Am. 2011;23(3):415-24.

Weise H, Naros A, Weise C, Reinert S, Hoefert S. Severe odontogenic infections with septic progress - A constant and increasing challenge: A retrospective analysis. BMC Oral Health. 2019;19(1):1-6.

Bakathir AA, Moos KF, Ayoub AF, Bagg J. Factors Contributing to the Spread of Odontogenic Infections: A prospective pilot study. Sultan Qaboos Univ Med J. 2009;9(3):296-304.

Baum SH, Ha-Phuoc AK, Mohr C. Treatment of odontogenic abscesses: comparison of primary and secondary removal of the odontogenic focus and antibiotic therapy. Oral Maxillofac Surg. 2020;24(2):163-72.

Rasteniene R, Puriene A, Aleksejuniene J, Pečiuliene V, Zaleckas L. Odontogenic maxillofacial infections: A ten-year retrospective analysis. Surg Infect (Larchmt). 2015;16(3):305-12.

Flynn TR. What are the Antibiotics of Choice for Odontogenic Infections, and How Long Should the Treatment Course Last? Oral Maxillofac Surg Clin North Am. 2011;23(4):519-36.

Robles Raya P, Javierre Miranda AP, Moreno Millán N, Mas Casals A, de Frutos Echániz E, Morató Agustí ML. Management of odontogenic infections in Primary Care: Antibiotic? Aten Primaria. 2017;49(10):611-18.

López-González E, Vitales-Noyola M, González-Amaro AM, Méndez-González V, Hidalgo-Hurtado A, Rodríguez-Flores R, et al. Aerobic and anaerobic microorganisms and antibiotic sensitivity of odontogenic maxillofacial infections. Odontology. 2019;107(3):409-17.

Martins JR, Chagas OL, Velasques BD, Bobrowski ÂN, Correa MB, Torriani MA. The Use of Antibiotics in Odontogenic Infections: What Is the Best Choice? A Systematic Review. J Oral Maxillofac Surg. 2017;75(12):2606.e1-2606.e11.

Published

2023-02-28

How to Cite

Nogueira, V. H., Pelissaro, G. S., Paiva-Oliveira, J. G., Aguillera, M. de O., Figueiredo, F. T., Leite da Silva, J. C., & Gaetti Jardim, E. C. (2023). Odontogenic infection with cervical extension in a young patient: case report. ARCHIVES OF HEALTH INVESTIGATION, 12(2), 214–219. https://doi.org/10.21270/archi.v12i2.5989

Issue

Section

Original Articles