Can odontogenic infections cause abscesses in distant organs? A case report
DOI:
https://doi.org/10.15381/os.v28i1.29045Keywords:
Dental Focal Infections, Liver Abscess, Periapical Abscess, Streptococcus anginosus, Streptococcus intermediusAbstract
Introduction: Dental infections arise when bacteria colonizing the oral cavity invade the periodontium, leading to abscesses in surrounding tissues and, less frequently, in vital organs. Objective: To describe the clinical case of a patient with liver abscesses secondary to odontogenic infectious processes. Case report: A 49-year-old male patient presented to the National Cancer Institute (INCan), Mexico city, Mexico, with suspected hepatic neoplasm. A fine-needle aspiration biopsy revealed S. intermedius. Subsequently, he attended the Dental Service due to a possible infectious focus in tooth 47. Result: After tooth extraction and antibiotic therapy, the patient experienced a significant decrease in symptoms caused by the infection. Conclusion: Odontogenic infections can generate distant abscesses, even in vital organs.
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Erazo D., Brizuela M., Whetstone DR. Dental Infections. The 5-Minute Pediatric Consult, 8th Edition 2023: 274–5. Doi: https://doi.org/10.1093/med/9780190888367.003.0008
Sanders JL., Houck RC. Dental Abscess. StatPearls 2023. PMDI: 29630201
Dhotre S., Jahagirdar V., Suryawanshi N., Davane M., Patil R., Nagoba B. Assessment of periodontitis and its role in viridans streptococcal bacteremia and infective endocarditis. Indian Heart J 2018; 70(2): 225–32. Doi: https://doi.org/10.1016/j.ihj.2017.06.019
Orrego-Cardozo M., Parra-Gil MA., Salgado-Morales YP., Muñoz-Guarín E., Fandiño-Henao V. Porphyromonas gingivalis y enfermedades sistémicas. CES Odontol 2015; 28(1): 57–73. http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-971X2015000100006&lng=en
Al Majid F., Aldrees A., Barry M., Binkhamis K., Allam A., Almohaya A. Streptococcus anginosus group infections: Management and outcome at a tertiary care hospital. J Infect Public Health 2020; 13(11): 1749–54. Doi: https://doi.org/10.1016/j.jiph.2020.07.017
Tran MAP., Caldwell-McMillan M., Khalife W., Young VB. Streptococcus intermedius causing infective endocarditis and abscesses: A report of three cases and review of the literature. BMC Infect Dis 2008; 8. Doi: https://doi.org/10.1186/1471-2334-8-154
Jiang S., Li M., Fu T., Shan F., Jiang L., Shao Z. Clinical Characteristics of Infections Caused by Streptococcus Anginosus Group. Sci Rep 2020; 10(1). Doi: https://doi.org/10.1038/s41598-020-65977-z
Pilarczyk-Zurek M., Sitkiewicz I., Koziel J. The Clinical View on Streptococcus anginosus Group – Opportunistic Pathogens Coming Out of Hiding. Front Microbiol 2022. Doi: https://doi.org/10.3389/fmicb.2022.956677
Álvarez L. Neumonía bacteriana con desarrollo de abscesos pulmonares secundarios a infección causada por streptococcus intermedius proveniente de absceso dental. Revista Médica de La Universidad de Costa Rica 2013; 6(1). Doi: https://doi.org/10.15517/rmu.v6i1.8040
Clarridge III JE., Attorri S., Musher DM., Hebert J., Dunbar S. Streptococcus intermedius, Streptococcus constellatus, and Streptococcus anginosus (“Streptococcus milleri Group”) Are of Different Clinical Importance and Are Not Equally Associated with Abscess. vol. 77030. Holcombe Blvd; 2002. Doi: https://doi.org/10.1086/320163
Terzi HA., Demiray T., Koroglu M., Cakmak G., Ciftci IH., Ozbek A., et al. Intra-abdominal abscess and primary peritonitis caused by streptococcus anginosus. Jundishapur J Microbiol 2016; 9(6). Doi: https://doi.org/10.5812/jjm.33863
Forner L., Larsen T., Kilian M., Holmstrup P. Incidence of bacteremia after chewing, tooth brushing and scaling in individuals with periodontal inflammation. J Clin Periodontol 2006; 33(6): 401–7. Doi: https://doi.org/10.1111/j.1600-051X.2006.00924.x
Neumayr A., Kubitz R., Bode J., Bilk P., Häussinger D. Multiple liver abscesses with isolation of streptococcus intermedius related to a pyogenic dental infection in an immuno-competent patient. Eur J Med Res 2010; 15(7): 319. Doi: https://doi.org/10.1186/2047-783X-15-7-319
Weightman NC., Barnham MRD., Dove M. Streptococcus milleri group bacteraemia in North Yorkshire, England (1989-2000). Indian J Med Res 2004; 119 Suppl(MAY): 164–7. PMID: 15232186
Laupland KB., Pasquill K., Parfitt EC., Dagasso G., Steele L. Streptococcus anginosus group bloodstream infections in the western interior of British Columbia, Canada. Infect Dis 2018; 50(6): 423–8. Doi: https://doi.org/10.1080/23744235.2017.1416163
Brunink EM., Hoogervorst LA., Steentjes K., Broekhuis D., de Boer MGJ. Osteomyelitis caused by Streptococcus intermedius in immunocompetent adults — a case report and systematic literature review. European Journal of Clinical Microbiology and Infectious Diseases. 2023; 1055–61. Doi: https://doi.org/10.1007/s10096-023-04640-7
Al Moussawi H., Krzyzak M., Awada Z., Chalhoub JM. Streptococcus Intermedius Brain and Diverticular Abscesses After Dental Manipulation: A Case Report. Cureus. 2018. Doi: https://doi.org/10.7759/cureus.2061
Mieher J., Schormann N., Wu R., Patel M., Purushotham S., Wu H., et al. Structure-function characterization of Streptococcus intermedius surface antigen pas. J Bacteriol 2021; 203(20). Doi: https://doi.org/10.1128/JB.00175-21
Gudiño-Aguirre DJ., Padilla-Salazar ML., Castaño-Pérez S., Ramos-López M., Hernández-Castellano S. Abscesos hepáticos múltiples y endocarditis infecciosa causada por Streptococcus intermedius tras infección dentaria. Revista Española de Casos Clínicos En Medicina Interna. 2020; 5(1): 9–11. Doi: https://doi.org/10.32818/reccmi.a5n1a4
Zhang J., Wang J., Gan J., Luo R., Chen X. The first case of Streptococcus intermedius brain abscess with hemophagocytic histiocytosis. BMC Infect Dis. 2022; 22(1). Doi: https://doi.org/10.1186/s12879-022-07600-2
Patel I., Douedi S., Makadia S., Upadhyaya V., Akoluk A., Douedi J., et al. Streptococcus anginosus Empyema Induced by Dental Abscess: A Case Report. J Med Cases 2020;11(9):289–91. Doi: https://doi.org/10.14740/jmc3547
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