A Case of Systemic Infection Caused by Streptococcus pyogenes Oral Infection in an Edentulous Patient

• Published in: Diseases Vol. 5; no. 3; p. 17
• Main Authors: Inagaki, Yumi, Abe, Masanobu, Inaki, Ryoko, Zong, Liang, Suenaga, Hideyuki, Abe, Takahiro, Hoshi, Kazuto
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 18.08.2017; MDPI
• Subjects: Aerobic bacteria; Bacterial infections; bisphosphonates; Case Report; Cellulitis; Disseminated infection; edentulous patients; Infections; Maxilla; Maxillofacial; Mucosa; myelodysplastic syndromes; Oral cavity; Oral infection; Pathogens; Patients; Periodontics; Sepsis; Sinusitis; Streptococcus pyogenes; Teeth; Wounding; Streptococcus pyogenes; bisphosphonates; edentulous patients; oral infection; sepsis; myelodysplastic syndromes
• ISSN: 2079-9721; 2079-9721
• DOI: 10.3390/diseases5030017

Infections in the oral and maxillofacial region can sometimes extend beyond the oral cavity, with serious consequences. Most oral infections are odontogenic, occurring through the root apex of the tooth or the periodontal pocket. It thus makes sense that edentulous patients have a much lower risk of oral bacterial infection. For this reason, while there are many reports on systemic infections caused by oral infections, few of these describe such infections in edentulous patients. We present a case of oral and maxillofacial cellulitis followed by sepsis due to infection in an 89-year-old Japanese edentulous woman. was detected in the wound of left maxilla and the blood sample. has been reported to be one of the most common and influential aerobic bacteria associated with deep neck infection and subsequent systemic infection. Left maxillary sinusitis was observed, and this could be the origin of the infection. derived from the sinusitis and leaked to the oral cavity might have caused systemic infection through wounding of the oral mucosa. Fortunately, intensive antibiotic therapy was effective, and the patient recovered without any surgical procedures. We experienced a rare case of oral and maxillofacial cellulitis followed by sepsis due to a infection in an old edentulous woman. This result indicated that, while edentulous patients are considered to have no risk of odontogenic infection, they still carry a risk of bacterial infection.