下顎の歯性感染症から継発した多発性頭蓋内膿瘍の1例

• 平井 秀明

  山梨県立中央病院口腔外科 東京医科歯科大学大学院医歯学総合研究科顎口腔外科学分野

• 三澤 常美

  山梨県立中央病院口腔外科

• 小村 健

  東京医科歯科大学大学院医歯学総合研究科顎口腔外科学分野

• 河西 八郎

  山梨県立中央病院口腔外科

書誌事項

タイトル別名

• A case of multiple intracranial abscesses secondary to mandibular odontogenic infection
• カガク ノ シセイ カンセンショウ カラ ケイハツ シタ タハツセイ トウガイ ナイ ノウヨウ ノ 1レイ

抄録

We report a rare case of multiple intracranial abscesses secondary to mandibular odontogenic infection. A 62-year-old man was admitted to our hospital because of general malaise, which developed after swelling of the right cheek, masticatory pain, and trismus. We detected no abnormality in the oral cavity, but hematologic examinations showed elevated levels of white blood cells and C-reactive protein. The patient was hospitalized for further evaluation. A computed tomographic scan revealed multiple intracranial shadows. After consultation with the Department of Neurosurgery, multiple intracranial abscesses secondary to mandibular odontogenic infection were diagnosed. The patient was transferred to the Department of Neurosurgery, and conservative therapy was administered. However, the symptoms worsened. Therefore, drainage by craniotomy was performed to remove the abscess. After surgery, we extracted the right lower second molar as the infection source because a magnetic resonance imaging scan showed no evidence of multiple intracranial abscesses. Subsequently, he recovered well without any sequelae.

収録刊行物

• 日本口腔外科学会雑誌

  日本口腔外科学会雑誌 57 (3), 114-118, 2011

  社団法人 日本口腔外科学会

キーワード

• 頭蓋内膿瘍
• 脳膿瘍
• 硬膜下膿瘍
• 歯性感染症
• 血行性感染

詳細情報

• CRID: 1390282681507725312
• NII論文ID: 10030271614
• NII書誌ID: AN00189163
• DOI: 10.5794/jjoms.57.114
• ISSN: 21861579
• ISSN: 00215163
• NDL書誌ID: 11052040
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I11052040
• Web Site: https://search.jamas.or.jp/link/ui/2011186293
• 本文言語コード: ja
• データソース種別:
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  • NDL
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