Association between Periodontal Disease and Bacterial Endocarditis: case report
Autor(a) principal: | |
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Data de Publicação: | 2022 |
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/27186 |
Resumo: | Periodontal Disease (PD) is an infectious and inflammatory condition that affects the oral cavity and is considered a risk factor for other systemic diseases, such as Bacterial Endocarditis (EB), due to the variety of pathogens that can cause bacteremia and colonize cardiac sites. Objective: To report a case about the relationship between PD and EB. Methodology: We report the case of a 53 year old patient, R.N.S., who sought medical attention after an afternoon fever and weight loss, and was diagnosed with pulmonary and urinary tract infection. After nine days, he was transferred to a High Complexity Hospital, and diagnosed with infective endocarditis with vegetation in the mitral valve, caloric malnutrition, and Acute Respiratory Syndrome. After 24 hours, he was referred to the Intensive Care Unit with tachypnea, drop in saturation, and mental confusion. After blood culture, the diagnosis was fungal infectious endocarditis by Candida tropicalis, with ventricular dysfunction. The dental evaluation showed a partial edentulous patient, calculus and dental biofilm, gingival recession on tooth 13, mobility on 31 and 32. Subgingival root scraping/straightening and exodontia of the 31 and 32 were performed in the operating room prior to cardiac surgery. Serratia marcescens was isolated from the culture of the periodontal abscess of tooth 13. The patient evolved without positive results for fungi in blood, tracheal secretion or urine culture. However, the same bacteria (S. marcescens) was present in blood and mitral valve samples. Conclusion: Dental evaluation should precede cardiac surgeries to avoid that oral infectious foci serve as a reservoir for opportunistic bacteria that may contribute to unfavorable outcomes such as EB by systemic dissemination of these pathogens. |
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Association between Periodontal Disease and Bacterial Endocarditis: case reportAsociación entre Enfermedad Periodontal y Endocarditis Bacteriana: reporte de casoAssociação entre Doença Periodontal e Endocardite Bacteriana: relato de casoEndocarditis, BacterialPeriodontal diseasesHospital dental staff.Endocarditis BacterianaEnfermedades PeriodontalesPersonal de odontología en hospital.Endocardite BacterianaDoenças PeriodontaisEquipe hospitalar de odontologia.Periodontal Disease (PD) is an infectious and inflammatory condition that affects the oral cavity and is considered a risk factor for other systemic diseases, such as Bacterial Endocarditis (EB), due to the variety of pathogens that can cause bacteremia and colonize cardiac sites. Objective: To report a case about the relationship between PD and EB. Methodology: We report the case of a 53 year old patient, R.N.S., who sought medical attention after an afternoon fever and weight loss, and was diagnosed with pulmonary and urinary tract infection. After nine days, he was transferred to a High Complexity Hospital, and diagnosed with infective endocarditis with vegetation in the mitral valve, caloric malnutrition, and Acute Respiratory Syndrome. After 24 hours, he was referred to the Intensive Care Unit with tachypnea, drop in saturation, and mental confusion. After blood culture, the diagnosis was fungal infectious endocarditis by Candida tropicalis, with ventricular dysfunction. The dental evaluation showed a partial edentulous patient, calculus and dental biofilm, gingival recession on tooth 13, mobility on 31 and 32. Subgingival root scraping/straightening and exodontia of the 31 and 32 were performed in the operating room prior to cardiac surgery. Serratia marcescens was isolated from the culture of the periodontal abscess of tooth 13. The patient evolved without positive results for fungi in blood, tracheal secretion or urine culture. However, the same bacteria (S. marcescens) was present in blood and mitral valve samples. Conclusion: Dental evaluation should precede cardiac surgeries to avoid that oral infectious foci serve as a reservoir for opportunistic bacteria that may contribute to unfavorable outcomes such as EB by systemic dissemination of these pathogens.La Enfermedad Periodontal (EP) es una afección infecciosa e inflamatoria que afecta a la cavidad bucal y se considera un factor de riesgo para otras enfermedades sistémicas, como la endocarditis bacteriana (EB), debido a la variedad de patógenos que pueden causar bacteriemia y colonizar los sitios cardíacos. Objetivo: Comunicar un caso sobre la relación entre EP y EB. Metodología: Presentamos el caso de la paciente R.N.S., de 53 años, que acudió al médico tras un cuadro de fiebre vespertina y pérdida de peso, siendo diagnosticada de infección pulmonar y urinaria. Después de nueve días fue trasladado a un Hospital de Alta Complejidad, diagnosticado de endocarditis infecciosa con vegetación en la válvula mitral, desnutrición calórica y Síndrome Respiratorio Agudo. Después de 24 horas fue remitido a la Unidad de Cuidados Intensivos con taquipnea, caída de la saturación y confusión mental. Tras el hemocultivo, el diagnóstico fue de endocarditis infecciosa fúngica por Candida tropicalis con disfunción ventricular. Una evaluación dental mostró un paciente parcialmente edéntulo, cálculo y biofilm dental, recesión gingival del diente 13, movilidad de los dientes 31 y 32. El raspado subgingival/alisado radicular y la exodoncia de los 31 y 32 se realizaron en el quirófano antes de la cirugía cardíaca. A partir del cultivo de absceso periodontal del diente 13, se aisló la bacteria Serratia marcescens.El paciente evolucionó sin resultado positivo para hongos en sangre, secreción traqueal o urocultivo. Sin embargo, la misma bacteria (S. marcescens) estaba presente en las muestras de sangre y de la válvula mitral. Conclusión: La evaluación dental debe preceder a las cirugías cardíacas para evitar que los focos infecciosos orales sirvan de reservorio de bacterias oportunistas que puedan contribuir a resultados desfavorables como la EB por diseminación sistémica de estos patógenos.A Doença Periodontal (DP) é uma condição infecto-inflamatória que acomete a cavidade bucal, considerada fator de risco para outras doenças sistêmicas, como a Endocardite Bacteriana (EB), pela variedade de patógenos que podem provocar bacteremia e colonizar sítios cardíacos. Objetivo: relatar um caso sobre a relação da DP e EB. Metodologia: Relata-se o caso do paciente R.N.S., 53 anos, que procurou atendimento médico após febre vespertina e perda ponderal, sendo diagnosticada infecção pulmonar e urinária. Após nove dias, foi transferido para Hospital de Alta Complexidade, diagnosticado com endocardite infecciosa com vegetação em válvula mitral, desnutrição calórica e Síndrome Respiratória Aguda. Após 24 horas, foi encaminhado à Unidade de Terapia Intensiva com taquipnéia, queda de saturação e confusão mental. Após hemocultura, o diagnóstico foi endocardite infecciosa fúngica por Cândida tropicalis, com disfunção ventricular. A avaliação odontológica mostrou paciente desdentado parcial, cálculo e biofilme dentário, recessão gengival do dente 13, mobilidade no 31 e 32. Foi realizada raspagem/alisamento radicular subgengival e exodontia do 31 e 32 em centro cirúrgico previamente à cirurgia cardíaca. Da cultura do abscesso periodontal do dente 13, isolou-se a bactéria Serratia marcescens. O paciente evoluiu sem resultado positivo para fungos em sangue, secreção traqueal ou urocultura. Entretanto, a mesma bactéria (S. marcescens) estava presente em amostras de sangue e da válvula mitral. Conclusão: A avaliação odontológica deve preceder às cirurgias cardíacas para evitar que focos infecciosos bucais sirvam de reservatório para bactérias oportunistas que possam contribuir para desfechos desfavoráveis como a EB pela disseminação sistêmica desses patógenos.Research, Society and Development2022-03-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2718610.33448/rsd-v11i4.27186Research, Society and Development; Vol. 11 No. 4; e16311427186Research, Society and Development; Vol. 11 Núm. 4; e16311427186Research, Society and Development; v. 11 n. 4; e163114271862525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/27186/23784Copyright (c) 2022 Paula Cristina Pereira Silva; Ingrid Araujo Oliveira; Cayara Mattos Costa; Graça Maria Lopes Mattos; Natália de Castro Côrrea; Rosana Costa Casanovashttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSilva, Paula Cristina PereiraOliveira, Ingrid AraujoCosta, Cayara MattosMattos, Graça Maria Lopes Côrrea, Natália de CastroCasanovas, Rosana Costa2022-03-27T17:17:09Zoai:ojs.pkp.sfu.ca:article/27186Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:45:00.074800Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Association between Periodontal Disease and Bacterial Endocarditis: case report Asociación entre Enfermedad Periodontal y Endocarditis Bacteriana: reporte de caso Associação entre Doença Periodontal e Endocardite Bacteriana: relato de caso |
title |
Association between Periodontal Disease and Bacterial Endocarditis: case report |
spellingShingle |
Association between Periodontal Disease and Bacterial Endocarditis: case report Silva, Paula Cristina Pereira Endocarditis, Bacterial Periodontal diseases Hospital dental staff. Endocarditis Bacteriana Enfermedades Periodontales Personal de odontología en hospital. Endocardite Bacteriana Doenças Periodontais Equipe hospitalar de odontologia. |
title_short |
Association between Periodontal Disease and Bacterial Endocarditis: case report |
title_full |
Association between Periodontal Disease and Bacterial Endocarditis: case report |
title_fullStr |
Association between Periodontal Disease and Bacterial Endocarditis: case report |
title_full_unstemmed |
Association between Periodontal Disease and Bacterial Endocarditis: case report |
title_sort |
Association between Periodontal Disease and Bacterial Endocarditis: case report |
author |
Silva, Paula Cristina Pereira |
author_facet |
Silva, Paula Cristina Pereira Oliveira, Ingrid Araujo Costa, Cayara Mattos Mattos, Graça Maria Lopes Côrrea, Natália de Castro Casanovas, Rosana Costa |
author_role |
author |
author2 |
Oliveira, Ingrid Araujo Costa, Cayara Mattos Mattos, Graça Maria Lopes Côrrea, Natália de Castro Casanovas, Rosana Costa |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Silva, Paula Cristina Pereira Oliveira, Ingrid Araujo Costa, Cayara Mattos Mattos, Graça Maria Lopes Côrrea, Natália de Castro Casanovas, Rosana Costa |
dc.subject.por.fl_str_mv |
Endocarditis, Bacterial Periodontal diseases Hospital dental staff. Endocarditis Bacteriana Enfermedades Periodontales Personal de odontología en hospital. Endocardite Bacteriana Doenças Periodontais Equipe hospitalar de odontologia. |
topic |
Endocarditis, Bacterial Periodontal diseases Hospital dental staff. Endocarditis Bacteriana Enfermedades Periodontales Personal de odontología en hospital. Endocardite Bacteriana Doenças Periodontais Equipe hospitalar de odontologia. |
description |
Periodontal Disease (PD) is an infectious and inflammatory condition that affects the oral cavity and is considered a risk factor for other systemic diseases, such as Bacterial Endocarditis (EB), due to the variety of pathogens that can cause bacteremia and colonize cardiac sites. Objective: To report a case about the relationship between PD and EB. Methodology: We report the case of a 53 year old patient, R.N.S., who sought medical attention after an afternoon fever and weight loss, and was diagnosed with pulmonary and urinary tract infection. After nine days, he was transferred to a High Complexity Hospital, and diagnosed with infective endocarditis with vegetation in the mitral valve, caloric malnutrition, and Acute Respiratory Syndrome. After 24 hours, he was referred to the Intensive Care Unit with tachypnea, drop in saturation, and mental confusion. After blood culture, the diagnosis was fungal infectious endocarditis by Candida tropicalis, with ventricular dysfunction. The dental evaluation showed a partial edentulous patient, calculus and dental biofilm, gingival recession on tooth 13, mobility on 31 and 32. Subgingival root scraping/straightening and exodontia of the 31 and 32 were performed in the operating room prior to cardiac surgery. Serratia marcescens was isolated from the culture of the periodontal abscess of tooth 13. The patient evolved without positive results for fungi in blood, tracheal secretion or urine culture. However, the same bacteria (S. marcescens) was present in blood and mitral valve samples. Conclusion: Dental evaluation should precede cardiac surgeries to avoid that oral infectious foci serve as a reservoir for opportunistic bacteria that may contribute to unfavorable outcomes such as EB by systemic dissemination of these pathogens. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-03-14 |
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/27186 10.33448/rsd-v11i4.27186 |
url |
https://rsdjournal.org/index.php/rsd/article/view/27186 |
identifier_str_mv |
10.33448/rsd-v11i4.27186 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/27186/23784 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
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. 11 No. 4; e16311427186 Research, Society and Development; Vol. 11 Núm. 4; e16311427186 Research, Society and Development; v. 11 n. 4; e16311427186 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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1797052763614478336 |