Acta Medica Okayama volume73 issue5
2019-10 発行

Acute Prevertebral Abscesses Caused by Bacterial-infected Traumatic Tooth Fractures

Matsunaga, Kazuyuki Department of Neurology, Brain Attack Center Ota Memorial Hospital
Takemaru, Makoto Department of Neurology, Brain Attack Center Ota Memorial Hospital
Yamashiro, Keisuke Department of Pathophysiology-Periodontal Science, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Yoshihara-Hirata, Chiaki Department of Pathophysiology-Periodontal Science, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Inohara, Ken Department of Neurology, Brain Attack Center Ota Memorial Hospital
Shimoe, Yutaka Department of Neurology, Brain Attack Center Ota Memorial Hospital
Tanaka, Akio Department of Neurology, Brain Attack Center Ota Memorial Hospital
Kuriyama, Masaru Department of Neurology, Brain Attack Center Ota Memorial Hospital
Takashiba, Shogo Department of Pathophysiology-Periodontal Science, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Publication Date
2019-10
Abstract
We report a case of acute prevertebral abscess caused by traumatic tooth fractures in a 77-year-old Japanese man. After being transferred to our hospital the patient was initially diagnosed with a neck hematoma; however, blood culture showed Streptococcus parasanguinis, an oral bacterium, and an MRI examination suggested prevertebral abscesses. Tooth fractures, severe periodontitis, and peri-implantitis with Streptococcus parasanguinis were observed. Antibiotics were administered and fractured teeth were extracted. The patient's condition then gradually improved. We concluded that bacteremia caused by traumatic tooth fractures induced the acute prevertebral abscesses.
Document Type
Case Report
Keywords
prevertebral abscess
deep neck infection
periodontal disease
peri-implantitis
Streptococcus parasanguinis
Link to PubMed
Thumnail 73_5_449.pdf 4.93 MB