NUMERO: #20230450

Título: BRAIN ABSCESS SECONDARY TO BONY SEQUESTRUM AND DENTAL ABSCESS IN A HOSPITALIZED PATIENT - CASE REPORT

Nome do Apresentador: Taciane Leite REZENDE

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Odontologia hospitalar

Resumo: Female patient, 67 years old, with diabetes, showed a prolonged epileptic seizure, fever, and leukocytosis. A brain abscess caused by Eikenella corrodens was diagnosed and initially treated with ceftriaxone and metronidazole. A swelling was observed in the hard palate with purulent drainage next to the maxillary right canine. The CT scan of the facial bones revealed a bony sequestrum associated with the abscess. The patient underwent tooth extraction, removal of the necrotic bone fragment and abscess drainage, which tested positive for Enterococcus faecalis sensitive to ampicillin. After starting treatment with ampicillin, the patient exhibited improvement in clinical, laboratory and imaging parameters, and was discharged after 2 months. This case highlights the importance of Hospital Dentistry in the treatment of inpatients with systemic infections secondary to oral infections, playing a crucial role in clinical improvement through assertive diagnosis, detection of microbial pathogens and removal of infectious foci.

Autor 1:  Taciane Leite REZENDE

E-mail 1:  [email protected]

Autor 2:   Gustavo Souza GALVÃO

E-mail 2:  [email protected]

Autor 3 :  Luisa Ammirabile AUGUSTO

E-mail 3:  [email protected]

Autor 4:  Stephanie Ferreira Vilas BOAS

E-mail 4:  [email protected]

Autor 5:  Claudia Garcia SAKUNO

E-mail 5:  [email protected]

Autor 6:  Maria Paula Siqueira de Melo PERES

E-mail 6:  [email protected]

Autor 7:  Juliana Bertoldi FRANCO

E-mail 7:  : [email protected]