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Case Reports
. 2022 Jan 4:2022:5140259.
doi: 10.1155/2022/5140259. eCollection 2022.

Brain Abscess: A Rare Clinical Case with Oral Etiology

André João da Silva Pais Rocha Pereira  1 , Ana Teresa Tavares  1 , Marcelo Prates  1 , Natacha Ribeiro  2 , Luís Filipe Fonseca  1 , Maria do Rosário Marques  1 , Francisco Proença  1
Affiliations
Case Reports

Brain Abscess: A Rare Clinical Case with Oral Etiology

André João da Silva Pais Rocha Pereira et al. Case Rep Infect Dis. .

Abstract

Brain abscess is a very rare condition but has a significant mortality rate. The three main routes of inoculation are trauma, contiguous focus, and the hematogenous route. The odontogenic focus is infrequent and is usually a diagnosis of exclusion. This paper presents a brain abscess case proven to be of dental origin, caused by Actinomyces meyeri and Fusobacterium nucleatum. This case highlights the risk underlying untreated dental disease and why oral infectious foci removal and good oral health are essential in primary care.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
CE-CT in the latter hospital.
Figure 2
Figure 2
CE-MRI in Hospital São José.
Figure 3
Figure 3
Face X-ray and intraoral X-ray.
Figure 4
Figure 4
CE-MRI at 12 hospitalisation day.
Figure 5
Figure 5
CE-MRI at 28 hospitalisation day.
See this image and copyright information in PMC

References

    1. Hobson D. T. G., Imudia A. N., Soto E., Awonuga A. O. Pregnancy complicated by recurrent brain abscess after extraction of an infected tooth. Obstetrics & Gynecology . 2011;118(2):467–470. doi: 10.1097/aog.0b013e31822468d6. - DOI - PubMed
    1. Azenha M. R., Homsi G., Garcia I. R. Multiple brain abscess from dental origin: case report and literature review. Oral and Maxillofacial Surgery . 2011;16(4):393–397. doi: 10.1007/s10006-011-0308-3. - DOI - PubMed
    1. Mylonas A. I., Tzerbos F. H., Mihalaki M., Rologis D., Boutsikakis I. Cerebral abscess of odontogenic origin. Journal of Cranio-Maxillofacial Surgery . 2007;35(1):63–67. doi: 10.1016/j.jcms.2006.10.004. - DOI - PubMed
    1. Ewald C., Kuhn S., Kalff R. Pyogenic infections of the central nervous system secondary to dental affections-a report of six cases. Neurosurgical Review . 2006;29(2):163–167. doi: 10.1007/s10143-005-0009-1. - DOI - PubMed
    1. Li X., Tronstad L., Olsen I. Brain abscesses caused by oral infection. Dental Traumatology . 1999;15(3):95–101. doi: 10.1111/j.1600-9657.1999.tb00763.x. - DOI - PubMed

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