Misdiagnosis of Extensive Maxillofacial Infection and Its Relationship with Periodontal Problems and Hyperglycemia
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1155/2016/5960546 http://hdl.handle.net/11449/161697 |
Resumo: | Background. Complex dental infections can reach distant areas of the alveolar process, invading the secondary fascial spaces. Objectives. This case report aims to show a misdiagnosis of odontogenic infection and a great need for dentist in the hospital environment. Case Report. A male patient presented facial asymmetry and trismus, while the facial CT examination showed a hyperdense mass involving the left masseteric, pterygomandibular, and superficial temporal regions. The patient was then referred to oral oncology center by emergency physician with cancer suspicion. After 15 days, the patient returned to the same emergency room and was attended by the surgical and maxillofacial trauma team, presenting tachycardia, tachypnea, dysphagia, and trismus. During anamnesis, the patient reported being an uncontrolled diabetic. In intraoral exam, a poor oral condition and generalized periodontitis were observed. Results. Correct diagnosis of odontogenic infection was established and adequately treated. Conclusions. Symptomatology bland may mask the severity of an infection; every increase in volume associated with trismus, poor oral hygiene with or without hyperglycemia should be heavily investigated for the presence of an infectious process. It emphasizes the importance of a dentist working with the physician in emergency room. |
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Misdiagnosis of Extensive Maxillofacial Infection and Its Relationship with Periodontal Problems and HyperglycemiaBackground. Complex dental infections can reach distant areas of the alveolar process, invading the secondary fascial spaces. Objectives. This case report aims to show a misdiagnosis of odontogenic infection and a great need for dentist in the hospital environment. Case Report. A male patient presented facial asymmetry and trismus, while the facial CT examination showed a hyperdense mass involving the left masseteric, pterygomandibular, and superficial temporal regions. The patient was then referred to oral oncology center by emergency physician with cancer suspicion. After 15 days, the patient returned to the same emergency room and was attended by the surgical and maxillofacial trauma team, presenting tachycardia, tachypnea, dysphagia, and trismus. During anamnesis, the patient reported being an uncontrolled diabetic. In intraoral exam, a poor oral condition and generalized periodontitis were observed. Results. Correct diagnosis of odontogenic infection was established and adequately treated. Conclusions. Symptomatology bland may mask the severity of an infection; every increase in volume associated with trismus, poor oral hygiene with or without hyperglycemia should be heavily investigated for the presence of an infectious process. It emphasizes the importance of a dentist working with the physician in emergency room.Univ Estadual Paulista, UNESP, Aracatuba Dent Sch, Dept Surg & Integrated Clin, BR-16015050 Aracatuba, SP, BrazilUniv Estadual Paulista, UNESP, Aracatuba Dent Sch, Dept Surg & Integrated Clin, BR-16015050 Aracatuba, SP, BrazilHindawi LtdUniversidade Estadual Paulista (Unesp)Statkievicz, Cristian [UNESP]Faverani, Leonardo P. [UNESP]Silva Gomes-Ferreira, Pedro Henrique [UNESP]Ramalho-Ferreira, Gabriel [UNESP]Garcia-Junior, Idelmo Rangel [UNESP]2018-11-26T16:48:17Z2018-11-26T16:48:17Z2016-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article4application/pdfhttp://dx.doi.org/10.1155/2016/5960546Case Reports In Dentistry. London: Hindawi Ltd, 4 p., 2016.2090-6447http://hdl.handle.net/11449/16169710.1155/2016/5960546WOS:000379075500001WOS000379075500001.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengCase Reports In Dentistry0,229info:eu-repo/semantics/openAccess2024-01-02T06:18:31Zoai:repositorio.unesp.br:11449/161697Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T21:55:30.582616Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Misdiagnosis of Extensive Maxillofacial Infection and Its Relationship with Periodontal Problems and Hyperglycemia |
title |
Misdiagnosis of Extensive Maxillofacial Infection and Its Relationship with Periodontal Problems and Hyperglycemia |
spellingShingle |
Misdiagnosis of Extensive Maxillofacial Infection and Its Relationship with Periodontal Problems and Hyperglycemia Statkievicz, Cristian [UNESP] |
title_short |
Misdiagnosis of Extensive Maxillofacial Infection and Its Relationship with Periodontal Problems and Hyperglycemia |
title_full |
Misdiagnosis of Extensive Maxillofacial Infection and Its Relationship with Periodontal Problems and Hyperglycemia |
title_fullStr |
Misdiagnosis of Extensive Maxillofacial Infection and Its Relationship with Periodontal Problems and Hyperglycemia |
title_full_unstemmed |
Misdiagnosis of Extensive Maxillofacial Infection and Its Relationship with Periodontal Problems and Hyperglycemia |
title_sort |
Misdiagnosis of Extensive Maxillofacial Infection and Its Relationship with Periodontal Problems and Hyperglycemia |
author |
Statkievicz, Cristian [UNESP] |
author_facet |
Statkievicz, Cristian [UNESP] Faverani, Leonardo P. [UNESP] Silva Gomes-Ferreira, Pedro Henrique [UNESP] Ramalho-Ferreira, Gabriel [UNESP] Garcia-Junior, Idelmo Rangel [UNESP] |
author_role |
author |
author2 |
Faverani, Leonardo P. [UNESP] Silva Gomes-Ferreira, Pedro Henrique [UNESP] Ramalho-Ferreira, Gabriel [UNESP] Garcia-Junior, Idelmo Rangel [UNESP] |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Statkievicz, Cristian [UNESP] Faverani, Leonardo P. [UNESP] Silva Gomes-Ferreira, Pedro Henrique [UNESP] Ramalho-Ferreira, Gabriel [UNESP] Garcia-Junior, Idelmo Rangel [UNESP] |
description |
Background. Complex dental infections can reach distant areas of the alveolar process, invading the secondary fascial spaces. Objectives. This case report aims to show a misdiagnosis of odontogenic infection and a great need for dentist in the hospital environment. Case Report. A male patient presented facial asymmetry and trismus, while the facial CT examination showed a hyperdense mass involving the left masseteric, pterygomandibular, and superficial temporal regions. The patient was then referred to oral oncology center by emergency physician with cancer suspicion. After 15 days, the patient returned to the same emergency room and was attended by the surgical and maxillofacial trauma team, presenting tachycardia, tachypnea, dysphagia, and trismus. During anamnesis, the patient reported being an uncontrolled diabetic. In intraoral exam, a poor oral condition and generalized periodontitis were observed. Results. Correct diagnosis of odontogenic infection was established and adequately treated. Conclusions. Symptomatology bland may mask the severity of an infection; every increase in volume associated with trismus, poor oral hygiene with or without hyperglycemia should be heavily investigated for the presence of an infectious process. It emphasizes the importance of a dentist working with the physician in emergency room. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-01-01 2018-11-26T16:48:17Z 2018-11-26T16:48:17Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1155/2016/5960546 Case Reports In Dentistry. London: Hindawi Ltd, 4 p., 2016. 2090-6447 http://hdl.handle.net/11449/161697 10.1155/2016/5960546 WOS:000379075500001 WOS000379075500001.pdf |
url |
http://dx.doi.org/10.1155/2016/5960546 http://hdl.handle.net/11449/161697 |
identifier_str_mv |
Case Reports In Dentistry. London: Hindawi Ltd, 4 p., 2016. 2090-6447 10.1155/2016/5960546 WOS:000379075500001 WOS000379075500001.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Case Reports In Dentistry 0,229 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
4 application/pdf |
dc.publisher.none.fl_str_mv |
Hindawi Ltd |
publisher.none.fl_str_mv |
Hindawi Ltd |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808129373659725824 |