A case of dental infection with septic pulmonary embolism and pyomyositis

• ONODERA Kei

  Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University

• MIYAMOTO Ikuya

  Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University

• HIRANO Taifu

  Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University

• TSUNODA Naoko

  Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University

• OHASHI Yu

  Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University

• YAMADA Hiroyuki

  Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University

Bibliographic Information

Other Title

• 歯性感染症に合併した敗血症性肺塞栓症と化膿性筋炎の1例
• ハ セイ カンセンショウ ニ ガッペイ シタ ハイケツショウセイ ハイ ソクセンショウ ト カノウセイ キンエン ノ 1レイ

Abstract

We report a case of dental infection with septic pulmonary embolism and pyomyositis. A 47-year-old man was referred to our department with swelling of the neck. Extra-oral examination showed redness and swelling of the submental region and the neck. Intraoral evaluation revealed 5 mm of exposed bone and pus discharge in the gums of the left mandibular premolar region. Blood tests showed elevated levels of C-reactive protein (19.29 mg/dL) and procalcitonin (0.81 ng/mL). The patient was hospitalized with the clinical diagnosis of a dental infection. Drainage was performed, and an anti-bacterial medication was administered. Computed tomography revealed a septic pulmonary embolism and a left-sided paraspinal muscle abscess. After consultation with our emergency department, drainage was performed, which alleviated the patient’s clinical symptoms. This case shows that a dental infection has the possibility to spread to multiple organs.

Journal

• Japanese Journal of Oral and Maxillofacial Surgery

  Japanese Journal of Oral and Maxillofacial Surgery 67 (6), 365-371, 2021-06-20

  Japanese Society of Oral and Maxillofacial Surgeons

Keywords

• septic pulmonary embolism
• dental infection
• paraspinal muscle
• pyomyositis

Details

• CRID: 1390852049742646144
• NII Article ID: 130008076263
• NII Book ID: AN00189163
• DOI: 10.5794/jjoms.67.365
• ISSN: 21861579
• ISSN: 00215163
• NDL BIB ID: 031585593
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I031585593
• Web Site: https://www.jstage.jst.go.jp/article/jjoms/67/6/67_365/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2021290506
• Text Lang: ja
• Data Source:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed