Severe odontogenic infection in a systemically compromised patient
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/22433 |
Resumo: | Odontogenic infection is a common health condition in the dental clinic and can represent, in certain situations, a serious health condition with the potential to spread through the fascial spaces of the head, neck and chest region, which require immediate interventions and treatments for not compromise the patient's life. Some pre-existing systemic conditions, such as uncontrolled diabetes mellitus, obesity, alcoholism, and immunosuppression, can accentuate these infections. In this case report, we present a 24-year-old female patient with a severe odontogenic infection, disseminated in the left hemiface, presenting diabetes mellitus and untreated hypertension, being treated in a hospital environment. Patient presented exacerbated pain, dysphagia and trismus. The intraoral examination revealed unsatisfactory oral hygiene, marked mouth opening limitation, absence of element 28, tooth 38 with pericoronitis and signs of nibbling on the left cheek mucosa due to edema. The laboratory tests showed significant changes. Intravenous antibiotic therapy instituted by the medical team of Meropenem 3 times a day and Vancomycin twice a day was started. The treatment chosen was extraction of the infectious focus, drainage of purulent exudate via the alveolar area, abundant irrigation and aspiration of 0.9% saline solution. After improvement in the clinical and laboratory status and control of the patient's glycemic status, she was discharged from the hospital with periodic outpatient control. In the outpatient clinic, the patient improved in her condition, with the volumetric increase regressing and with a slight hardening of the face. Follows the systemic care in an outpatient clinic by the medical team. Thus, infection in patients with systemic involvement requires an immediate and multidisciplinary approach to ensure a good prognosis |
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Severe odontogenic infection in a systemically compromised patientInfección odontogénica grave en un paciente con compromiso sistémicoInfecção odontogênica grave em paciente sistemicamente comprometidaInfecciones bacterianasHipertensiónDiabetes MellitusCirurgía bucalDrenaje.Bacterial infectionsHypertensionDiabetes MellitusSurgery, oralDrainage.Infecções bacterianasHipertensãoDiabetes MellitusCirurgia bucalDrenagem.Odontogenic infection is a common health condition in the dental clinic and can represent, in certain situations, a serious health condition with the potential to spread through the fascial spaces of the head, neck and chest region, which require immediate interventions and treatments for not compromise the patient's life. Some pre-existing systemic conditions, such as uncontrolled diabetes mellitus, obesity, alcoholism, and immunosuppression, can accentuate these infections. In this case report, we present a 24-year-old female patient with a severe odontogenic infection, disseminated in the left hemiface, presenting diabetes mellitus and untreated hypertension, being treated in a hospital environment. Patient presented exacerbated pain, dysphagia and trismus. The intraoral examination revealed unsatisfactory oral hygiene, marked mouth opening limitation, absence of element 28, tooth 38 with pericoronitis and signs of nibbling on the left cheek mucosa due to edema. The laboratory tests showed significant changes. Intravenous antibiotic therapy instituted by the medical team of Meropenem 3 times a day and Vancomycin twice a day was started. The treatment chosen was extraction of the infectious focus, drainage of purulent exudate via the alveolar area, abundant irrigation and aspiration of 0.9% saline solution. After improvement in the clinical and laboratory status and control of the patient's glycemic status, she was discharged from the hospital with periodic outpatient control. In the outpatient clinic, the patient improved in her condition, with the volumetric increase regressing and with a slight hardening of the face. Follows the systemic care in an outpatient clinic by the medical team. Thus, infection in patients with systemic involvement requires an immediate and multidisciplinary approach to ensure a good prognosisLa infección odontogénica es una condición de salud común en la clínica dental y puede representar, en ciertas situaciones, una condición de salud grave con el potencial de extenderse a través de los espacios fasciales de la región de la cabeza, el cuello y el pecho, que requieren intervenciones y tratamientos inmediatos para no comprometerse. la vida del paciente. Algunas afecciones sistémicas preexistentes, como la diabetes mellitus no controlada, la obesidad, el alcoholismo y la inmunosupresión, pueden acentuar estas infecciones. En este caso clínico presentamos a una paciente femenina de 24 años con una infección odontogénica severa, diseminada en la hemifacial izquierda, que presenta diabetes mellitus e hipertensión arterial no tratada, siendo tratada en un ambiente hospitalario. El paciente presentó dolor exacerbado, disfagia y trismo. El examen intraoral reveló higiene bucal insatisfactoria, marcada limitación de la apertura bucal, ausencia del elemento 28, diente 38 con pericoronitis y signos de mordisqueo en la mucosa de la mejilla izquierda por edema. Las pruebas de laboratorio mostraron cambios significativos. Se inició antibioterapia intravenosa instituida por el equipo médico de Meropenem 3 veces al día y Vancomicina dos veces al día. El tratamiento elegido fue extracción del foco infeccioso, drenaje del exudado purulento por el canal alveolar, irrigación abundante y aspiración de suero fisiológico al 0,9%. Tras mejorar el estado clínico y de laboratorio y el control del estado glucémico de la paciente, fue dada de alta del hospital con control ambulatorio periódico. En la consulta externa, la paciente mejoró en su estado, con el aumento volumétrico en regresión y con un leve endurecimiento del rostro. Sigue la atención sistémica en una clínica ambulatoria por parte del equipo médico. Por tanto, la infección en pacientes con afectación sistémica requiere un abordaje inmediato y multidisciplinario para asegurar un buen pronóstico.A infecção odontogênica é uma condição de saúde comum na clínica odontológica e pode representar em certas situações uma condição grave de saúde, com o potencial de disseminação por meio dos espaços fasciais da região de cabeça, pescoço e tórax, que necessitam de intervenções e tratamentos imediatos para não comprometer a vida do paciente. Algumas condições sistêmicas pré-existentes, como diabetes mellitus descontrolada, obesidade, alcoolismo e imunossupressão podem acentuar essas infecções. Neste relato de caso, apresentamos uma paciente de 24 anos de idade com uma infecção odontogênica severa, disseminada em hemiface esquerda, apresentando diabetes mellitus e hipertensão arterial sem tratamento, sendo atendida em ambiente hospitalar. Paciente apresentou dor exacerbada, disfagia e trismo. Ao exame intrabucal revelou higiene oral insatisfatória, limitação da abertura bucal acentuada, ausência do elemento 28, dente 38 apresentando pericoronarite e sinais de mordiscamento na mucosa jugal esquerda em virtude do edema. Aos exames laboratoriais alterações significativas foram constatadas. Foi iniciada antibioticoterapia intravenosa instituída pela equipe médica de Meropenem 3 vezes ao dia e Vancomicina duas vezes ao dia. Optou-se como tratamento a exodontia do foco infeccioso, drenagem de exsudato purulento via alveolar, irrigação abundante e aspiração de soro fisiológico 0,9%. Após melhora do quadro clínico, laboratorial e controle do estado glicêmico da paciente, a mesma recebeu alta hospitalar com controle ambulatorial periódico. Em ambulatório a paciente apresentou melhora em seu quadro, regredindo o aumento volumétrico e com leve endurecimento em face. Segue aos cuidados sistêmicos em ambulatório pela equipe médica. Deste modo, a infecção em pacientes com comprometimento sistêmicos, requer uma abordagem imediata e multiprofissional para garantir um bom prognóstico.Research, Society and Development2021-11-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2243310.33448/rsd-v10i15.22433Research, Society and Development; Vol. 10 No. 15; e189101522433Research, Society and Development; Vol. 10 Núm. 15; e189101522433Research, Society and Development; v. 10 n. 15; e1891015224332525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/22433/20228Copyright (c) 2021 Valeska Afonso Ardigueire; Jose Carlos Garcia de Mendonça; Athilla Arcari Santos ; Francielly Thomas Figueiredo ; Gustavo Silva Pelissaro; Janayna Gomes Paiva-Oliveira; Júlio César Leite da Silva; Ellen Cristina Gaetti Jardimhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessArdigueire, Valeska Afonso Mendonça, Jose Carlos Garcia deSantos , Athilla Arcari Figueiredo , Francielly Thomas Pelissaro, Gustavo Silva Paiva-Oliveira, Janayna Gomes Silva, Júlio César Leite da Jardim, Ellen Cristina Gaetti 2021-12-06T10:13:53Zoai:ojs.pkp.sfu.ca:article/22433Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:41:35.956271Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Severe odontogenic infection in a systemically compromised patient Infección odontogénica grave en un paciente con compromiso sistémico Infecção odontogênica grave em paciente sistemicamente comprometida |
title |
Severe odontogenic infection in a systemically compromised patient |
spellingShingle |
Severe odontogenic infection in a systemically compromised patient Ardigueire, Valeska Afonso Infecciones bacterianas Hipertensión Diabetes Mellitus Cirurgía bucal Drenaje. Bacterial infections Hypertension Diabetes Mellitus Surgery, oral Drainage. Infecções bacterianas Hipertensão Diabetes Mellitus Cirurgia bucal Drenagem. |
title_short |
Severe odontogenic infection in a systemically compromised patient |
title_full |
Severe odontogenic infection in a systemically compromised patient |
title_fullStr |
Severe odontogenic infection in a systemically compromised patient |
title_full_unstemmed |
Severe odontogenic infection in a systemically compromised patient |
title_sort |
Severe odontogenic infection in a systemically compromised patient |
author |
Ardigueire, Valeska Afonso |
author_facet |
Ardigueire, Valeska Afonso Mendonça, Jose Carlos Garcia de Santos , Athilla Arcari Figueiredo , Francielly Thomas Pelissaro, Gustavo Silva Paiva-Oliveira, Janayna Gomes Silva, Júlio César Leite da Jardim, Ellen Cristina Gaetti |
author_role |
author |
author2 |
Mendonça, Jose Carlos Garcia de Santos , Athilla Arcari Figueiredo , Francielly Thomas Pelissaro, Gustavo Silva Paiva-Oliveira, Janayna Gomes Silva, Júlio César Leite da Jardim, Ellen Cristina Gaetti |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Ardigueire, Valeska Afonso Mendonça, Jose Carlos Garcia de Santos , Athilla Arcari Figueiredo , Francielly Thomas Pelissaro, Gustavo Silva Paiva-Oliveira, Janayna Gomes Silva, Júlio César Leite da Jardim, Ellen Cristina Gaetti |
dc.subject.por.fl_str_mv |
Infecciones bacterianas Hipertensión Diabetes Mellitus Cirurgía bucal Drenaje. Bacterial infections Hypertension Diabetes Mellitus Surgery, oral Drainage. Infecções bacterianas Hipertensão Diabetes Mellitus Cirurgia bucal Drenagem. |
topic |
Infecciones bacterianas Hipertensión Diabetes Mellitus Cirurgía bucal Drenaje. Bacterial infections Hypertension Diabetes Mellitus Surgery, oral Drainage. Infecções bacterianas Hipertensão Diabetes Mellitus Cirurgia bucal Drenagem. |
description |
Odontogenic infection is a common health condition in the dental clinic and can represent, in certain situations, a serious health condition with the potential to spread through the fascial spaces of the head, neck and chest region, which require immediate interventions and treatments for not compromise the patient's life. Some pre-existing systemic conditions, such as uncontrolled diabetes mellitus, obesity, alcoholism, and immunosuppression, can accentuate these infections. In this case report, we present a 24-year-old female patient with a severe odontogenic infection, disseminated in the left hemiface, presenting diabetes mellitus and untreated hypertension, being treated in a hospital environment. Patient presented exacerbated pain, dysphagia and trismus. The intraoral examination revealed unsatisfactory oral hygiene, marked mouth opening limitation, absence of element 28, tooth 38 with pericoronitis and signs of nibbling on the left cheek mucosa due to edema. The laboratory tests showed significant changes. Intravenous antibiotic therapy instituted by the medical team of Meropenem 3 times a day and Vancomycin twice a day was started. The treatment chosen was extraction of the infectious focus, drainage of purulent exudate via the alveolar area, abundant irrigation and aspiration of 0.9% saline solution. After improvement in the clinical and laboratory status and control of the patient's glycemic status, she was discharged from the hospital with periodic outpatient control. In the outpatient clinic, the patient improved in her condition, with the volumetric increase regressing and with a slight hardening of the face. Follows the systemic care in an outpatient clinic by the medical team. Thus, infection in patients with systemic involvement requires an immediate and multidisciplinary approach to ensure a good prognosis |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-11-24 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/22433 10.33448/rsd-v10i15.22433 |
url |
https://rsdjournal.org/index.php/rsd/article/view/22433 |
identifier_str_mv |
10.33448/rsd-v10i15.22433 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/22433/20228 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 15; e189101522433 Research, Society and Development; Vol. 10 Núm. 15; e189101522433 Research, Society and Development; v. 10 n. 15; e189101522433 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052790446489600 |