Dental and Medical Problems
2015, vol. 52, nr 2, April-June, p. 235–240
Publication type: clinical case
Odontogenic Inflammation Complicated by an Abscess of the Brain – Case Report
Zapalenie zębopochodne powikłane ropniem mózgu – opis przypadku
1 Department of Pathology, Medical Institute of Sumy State University, Sumy, Ukraine
We describe a case of brain abscess due to odontogenic infection. In this report, a 73-year-old female patient was admitted to the maxillofacial department with an odontogenic abscess of the chin area complicated by immunosuppression. In the year 2014, the patient had been treated 3 times. Even after several routine tests, we still could not treat the abscess. However, after an immunogram, immunosuppression was found. Life support and treatment was not successful and she died. Oral pathogens from an odontogenic infection could enter the brain via either a hematological link. Cerebral abscesses are frequently polymicrobial. All available literature is in the form of small case studies. Cerebral abscess linked to odontogenic infection is a rare occurrence since in most individuals the blood-brain barrier along with the immune response will keep bacteria out. Odontogenic infections in the pathogenesis of a cerebral abscess are as a result of immunosuppression and somatic pathology. Management of these life-threatening infections depends on the location and the dimensions of the lesion, as well as on the level of medical alertness.
immunosuppression, abscess of the brain, odontogenic inflammation
immunosupresja, ropień mózgu, zapalenie zębopochodne
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