Journal
JOURNAL OF CRANIOFACIAL SURGERY
Volume 22, Issue 6, Pages 2363-2365Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/SCS.0b013e318231e585
Keywords
Infection; brain abscess; dental focal infection; Streptococcus viridans; Actinobacillus actinomycetemcomitans; Staphylococcus
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Brain abscess is a rare and threatening infection, which is in a suppuration area, caused either by trauma, neurosurgical complication, or by a secondary infection of dental origin complication. The infectious process spread from the start focus can occur in 2 ways: hematogenous or by contiguity. The treatment should ideally be based on the etiological factor excision, combined with drainage and antibiotics as adjuvant; this philosophy is not observed in the reports described in the 1960s, 1970s, and 1980s. This study's goal was to report a case of brain abscess consequent of an odontogenic outbreak, where an adequate treatment was set up, but it was already in advanced stages and had as a result the lethal outcome. Complications from the odontogenic infections have a low incidence, but should never be disregarded, because they can lead to death, as described in this manuscript.
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