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Multiple brain abscesses treated by extraction of the maxillary molars with chronic apical lesion to remove the source of infection

  • Jung, Ki-Hyun (Department of Dentistry/Oral and Maxillofacial Surgery, College of Medicine, Hanyang University) ;
  • Ro, Seong-Su (Department of Dentistry/Oral and Maxillofacial Surgery, College of Medicine, Hanyang University) ;
  • Lee, Seong-Won (Department of Dentistry/Oral and Maxillofacial Surgery, College of Medicine, Hanyang University) ;
  • Jeon, Jae-Yoon (Department of Dentistry/Oral and Maxillofacial Surgery, College of Medicine, Hanyang University) ;
  • Park, Chang-Joo (Department of Dentistry/Oral and Maxillofacial Surgery, College of Medicine, Hanyang University) ;
  • Hwang, Kyung-Gyun (Department of Dentistry/Oral and Maxillofacial Surgery, College of Medicine, Hanyang University)
  • Received : 2019.04.22
  • Accepted : 2019.06.11
  • Published : 2019.12.31

Abstract

Background: Brain abscess is a life-threatening condition that occurs due to complications during a neurosurgical procedure, direct cranial trauma, or the presence of local or distal infection. Infection in the oral cavity can also be considered a source of brain abscess. Case presentation: A 45-year-old male patient was transported with brain abscess in the subcortical white matter. Navigation-guided abscess aspiration and drainage was performed in the right mid-frontal lobe, but the symptoms continued to worsen after the procedure. A panoramic radiograph showed alveolar bone resorption around the maxillary molars. The compromised maxillary molars were extracted under local anesthesia, and antibiotics were applied based on findings from bacterial culture. A brain MRI confirmed that the three brain abscesses in the frontal lobe were reduced in size, and the patient's symptoms began to improve after the extractions. Conclusion: This is a rare case report about multiple uncontrolled brain abscesses treated by removal of infection through the extraction of maxillary molars with odontogenic infection. Untreated odontogenic infection can also be considered a cause of brain abscess. Therefore, it is necessary to recognize the possibility that untreated odontogenic infection can lead to serious systemic inflammatory diseases such as brain abscess. Through a multidisciplinary approach to diagnosis and treatment, physicians should be encouraged to consider odontogenic infections as a potential cause of brain abscesses.

Keywords

References

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Cited by

  1. Multiple Brain Abscesses of Odontogenic Origin. May Oral Microbiota Affect Their Development? A Review of the Current Literature vol.11, pp.8, 2019, https://doi.org/10.3390/app11083316