Microbiology of odontogenic infections in deep neck spaces: A retrospective study

Al-Qamachi, Laith; Aga, Hiba; McMahon, Jeremy; Leanord, Alistair; Hammersley, N.

doi:10.1016/j.bjoms.2008.12.007

Cited by 44 publications

(21 citation statements)

References 5 publications

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“…The results of this study of cellulitis patients were compared to those of similar studies from other hospitals, where streptococci, staphylococci and prevotellae were identified as the major pathogenic microorganisms (2,3,5,(7)(8)(9)(10)(11)(12)(13)(14)(15). This is borne out by our observations.…”

Section: Discussionmentioning

confidence: 58%

Deep Neck infections of Odontogenic Origin and Their Clinical Significance. A Retrospective Study from Hradec Králové, Czech Republic

Doležalová

Zemek

Tuček

2015

Acta Med. (Hradec Kralove, Czech Repub.)

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Summary:Introduction: Cellulitis remains a very serious disease even today. Mortality, which varied between 10-40%, has been reduced owing to the standard securing of airway patency and use of an appropriate surgical treatment approach. Materials and methods: A total of 195 patients were hospitalised for cellulitis at the University Hospital in Hradec Králové during 2007-2011. The following parameters were evaluated: age, gender, dependence of incidence of the disease on the season of the year, frequency of attacks of the particular areas and their clinical characteristics, aetiology of the inflammation, types of patient complaints, prevalence of current systemic diseases, results of microbiological and selected laboratory analyses, socio-economic status of the patients, and duration of patient stay at the hospital. Statistical analysis was performed by using Pearson's correlation coefficient, the statistical significance level was p < 0.05. Results: The mean age of the patients was 39.8 years. The group of 195 patients included 108 (55%) males and 87 (45%) females. The mean time between the first symptoms of the disease and admission to the Department was 5 days. From among the 195 patients, 116 (59.5%) were working persons, 79 (40.5%) were non-working (children, students, unemployed persons, women on maternity leave, retired people). The odontogenic origin of the disease was verified in 173 (88.7%) patients. In total, 65 (33.3%) patients had no coinciding complicating systemic disease, 22 (11.3%) patients had diabetes mellitus. The most frequent symptom of cellulitis was painful swelling, found in 194 (99.5%) patients, followed by jaw contracture, found in 153 (78.5%) patients. Conclusion: The results are largely very similar to those of previous studies performed in other countries, except that we found no correlation between the prevalence of cellulitis and the socio-economic status, nor have we confirmed Klebsiella pneumoniae sp. as the cause of cellulitis in patients with diabetes mellitus.

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Section: Discussionmentioning

confidence: 58%

Deep Neck infections of Odontogenic Origin and Their Clinical Significance. A Retrospective Study from Hradec Králové, Czech Republic

Doležalová

Zemek

Tuček

2015

Acta Med. (Hradec Kralove, Czech Repub.)

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“…Diversos estudios avalan la eficacia de las penicilinas en IOs severas, con bajas tasas de resistencia entre el 4% y 7% [41][42][43][44] . en contraparte, existen estudios que evidencian la emergente falla del tratamiento con las penicilinas 11,31 .…”

Section: Factores Del Paciente Aunclassified

Principios para el tratamiento de infecciones odontogénicas con distintos niveles de complejidad

2012

Rev Chil Cir

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Principles for the treatment of odontogenic infections with different levels of complexity odontogenic infections are one of the main causes of consultation in dental practice. these, affect individuals of all ages and are responsible for the majority of antibiotic prescriptions in the field of dentistry. odontogenic infections are generally underestimated in terms of morbidity and mortality, although the incidence and severity have decreased dramatically over the past 70 years. However, odontogenic infections can have varying degrees of severity and even some can be quite complex and need emergency care in a hospital setting under a specialist in oral and Maxillofacial surgery. odontogenic infections are commonly the result of pericoronitis, caries with pulp exposure, periodontitis or complication of a dental procedure. the literature contains various principles and approaches for odontogenic infections therefore the objective of our review is to establish a simplified manner based on the current literature, the principles that the clinician should follow to face odontogenic infections with different levels of complexity.Key words: odontogenic infection, odontogenic abscess, antibiotics.Resumen las infecciones odontogénicas son una de las principales causas de consulta en la práctica odontológi-ca. estas afectan a individuos de todas las edades y son responsables de la mayoría de las prescripciones de antibióticos en el campo de la odontología. las infecciones odontogénicas son generalmente subestimadas en términos de morbilidad y mortalidad, aunque su incidencia y severidad han bajado drásticamente en los últi-mos 70 años. sin embargo, estas infecciones pueden presentar distintos grados de severidad e incluso algunas pueden ser bastante complejas y necesitar una atención de emergencia en un ambiente hospitalario bajo un especialista en cirugía Bucal y Maxilofacial. las infecciones odontogénicas son comúnmente el resultado de una pericoronaritis, caries con exposición pulpar, periodontitis o la complicación de un procedimiento dental. . estas Ios pueden presentar distintos grados de severidad e incluso algunas pueden ser bastante complejas y necesitar atención de emergencia en un ambiente hospitalario bajo un especialista en cirugía Bucal y Maxilofacial.las Ios son generalmente subestimadas en térmi-nos de morbilidad y mortalidad, si bien la incidencia y severidad han bajado drásticamente en los últimos 70 años. Históricamente, la posibilidad de que un absceso de origen dental se propagara generando sepsis y la muerte ha sido conocido desde la antigüe-dad, aunque el rol de las bacterias en este proceso no fue descubierto hasta el siglo XX. cuando los certificados de defunción (Londres, Inglaterra) comenzaron a mostrar las causas de muerte a comienzos del 1600´s, las infecciones de origen dental ocupaban el sexto lugar 2 . en 1940, ahsbel Williams publicó una serie de 31 casos de angina de ludwig, la gran mayoría de origen dental, donde el 54% de los pacientes fallecieron 3 . tres años más tarde guralnic...

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“…3,4 Severe infectious complications such as intracranial abscess and/or meningitis are fortunately rarely encountered, essentially owing to the widespread use of a combined therapy of antibiotics and anticoagulants as well as the early detection of the disease by the increasingly efficient CT and MRI scanning techniques. 3 Despite the fact that the extension of odontogenic infections to the surrounding structures is very common and represents the leading aetiology of deep neck infections and maxillary sinusitis, cavernous sinus involvement is a very exceptional occurrence. 1,5 Odontogenic infections result from two main sources: periapical, as a result of pulpal necrosis following deep dental caries, and periodontal, as a result of an infected periodontal pocket.…”

Section: Discussionmentioning

confidence: 99%

“…3 Antibiotics have also been demonstrated to limit the extension of the thrombosis. Although there is no international consensus, anticoagulation is usually associated with antibiotics.…”

mentioning

confidence: 99%

“…Up to 90% of patients complain of retro-orbital and/or frontotemporal unilateral headaches as well as unilateral or bilateral proptosis associated with chemosis, external opthalmoplegia and cranial nerves impairment, such as third, fourth or sixth cranial nerve palsy or hypoesthesia in the ophthalmic (V1) and maxillary division of the trigeminal nerve. 3 In such specific cases where the clinical presentation is atypical and unusual, imaging and particularly MRI is of value in detecting and evaluating cavernous sinus abnormalities. 9 MRI is the most sensitive radiological indicator of disease activity.…”

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confidence: 99%

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Septic thrombosis of the cavernous sinus secondary to aStreptococcus millerioral infection

Imholz

Becker²,

Lombardi³

et al. 2012

Dentomaxillofacial Radiology

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Septic thrombosis of the cavernous sinus (STCS) is an uncommon and potentially lethal disease. Sphenoid and ethmoid sinusitis followed by facial cutaneous infections represents the most common aetiologies, with Staphylococcus aureus as the main responsible organism followed by the Streptococcus pneumoniae. Although all infectious foci of the head and neck area can potentially spread to the cavernous sinus, STCS from oral infection is an exceptionally rare occurrence. We report the unusual case of a patient who presented with an acute STCS secondary to a generalized Streptococcus milleri periodontitis. This case highlights the importance of systematically performing a detailed examination of the oral cavity in patients presenting with intracranial infections caused by uncommon pathogens such as the Streptococcus milleri group.

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Microbiology of odontogenic infections in deep neck spaces: A retrospective study

Cited by 44 publications

References 5 publications

Deep Neck infections of Odontogenic Origin and Their Clinical Significance. A Retrospective Study from Hradec Králové, Czech Republic

Deep Neck infections of Odontogenic Origin and Their Clinical Significance. A Retrospective Study from Hradec Králové, Czech Republic

Principios para el tratamiento de infecciones odontogénicas con distintos niveles de complejidad

Septic thrombosis of the cavernous sinus secondary to aStreptococcus millerioral infection

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