Acute Prevertebral Abscesses Caused by Bacterial-infected Traumatic Tooth Fractures

We report a case of acute prevertebral abscess caused by traumatic tooth fractures in a 77-year-old Japanese man. After being transferred to our hospital the patient was initially diagnosed with a neck hematoma; however, blood culture showed Streptococcus parasanguinis, an oral bacterium, and an MRI...

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Bibliographic Details
Published inActa medica Okayama Vol. 73; no. 5; p. 449
Main Authors Matsunaga, Kazuyuki, Takemaru, Makoto, Yamashiro, Keisuke, Yoshihara-Hirata, Chiaki, Inohara, Ken, Shimoe, Yutaka, Tanaka, Akio, Kuriyama, Masaru, Takashiba, Shogo
Format Journal Article
LanguageEnglish
Published Japan 01.10.2019
Subjects
Abscess - drug therapy
Abscess - etiology
Aged
Anti-Bacterial Agents - therapeutic use
Bacteremia - complications
Humans
Male
Peri-Implantitis - complications
Periodontitis - complications
Spinal Diseases - drug therapy
Spinal Diseases - etiology
Tooth Fractures - complications
deep neck infection
Streptococcus parasanguinis
prevertebral abscess
peri-implantitis
periodontal disease
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Summary:We report a case of acute prevertebral abscess caused by traumatic tooth fractures in a 77-year-old Japanese man. After being transferred to our hospital the patient was initially diagnosed with a neck hematoma; however, blood culture showed Streptococcus parasanguinis, an oral bacterium, and an MRI examination suggested prevertebral abscesses. Tooth fractures, severe periodontitis, and peri-implantitis with Streptococcus parasanguinis were observed. Antibiotics were administered and fractured teeth were extracted. The patient's condition then gradually improved. We concluded that bacteremia caused by traumatic tooth fractures induced the acute prevertebral abscesses.
ISSN:0386-300X