Multiple deep-seated dentofacial abscesses caused by multidrug-resistant viridans group streptococci

Shinnosuke Fukushima; Hideharu Hagiya; Yuki Mizuta; Yasuhiro Nakano; Masahiro Takahara; Kayo Okamoto; Yuko Hayashi; Kiyoshi Yamada; Kou Hasegawa; Fumio Otsuka

doi:10.2169/internalmedicine.4283-20

Multiple deep-seated dentofacial abscesses caused by multidrug-resistant viridans group streptococci

Shinnosuke Fukushima, Hideharu Hagiya, Yuki Mizuta, Yasuhiro Nakano, Masahiro Takahara, Kayo Okamoto, Yuko Hayashi, Kiyoshi Yamada, Kou Hasegawa, Fumio Otsuka

Research output: Contribution to journal › Article › peer-review

Abstract

Odontogenic infections, generally caused by dental caries and periodontal disease, can result in fatal illness. We herein report a 71-year-old Japanese woman with type 2 diabetes and hemodialysis who suffered from multiple dentofacial abscesses mainly caused by multidrug-resistant Streptococcus oralis. She complained of pain and swelling of her face, with an extraoral fistula from the left cheek. Following 3 surgical debridement procedures and partial mandibulectomy, in addition to 12 weeks of antimicrobial therapy, the multiple dentofacial abscesses were ameliorated. A combination of surgical and antimicrobial treatments following an early diagnosis is essential for reducing further complications.

Original language	English
Pages (from-to)	2067-2070
Number of pages	4
Journal	Internal Medicine
Volume	59
Issue number	16
DOIs	https://doi.org/10.2169/internalmedicine.4283-20
Publication status	Published - 2020

Keywords

Dentofacial abscesses
Multidrug resistance
Odontogenic infection
Osteomyelitis
Streptococcus
Viridans

ASJC Scopus subject areas

Internal Medicine

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10.2169/internalmedicine.4283-20

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Multiple deep-seated dentofacial abscesses caused by multidrug-resistant viridans group streptococci. / Fukushima, Shinnosuke; Hagiya, Hideharu; Mizuta, Yuki; Nakano, Yasuhiro; Takahara, Masahiro; Okamoto, Kayo; Hayashi, Yuko; Yamada, Kiyoshi; Hasegawa, Kou ; Otsuka, Fumio.

In: Internal Medicine, Vol. 59, No. 16, 2020, p. 2067-2070.

Research output: Contribution to journal › Article › peer-review

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abstract = "Odontogenic infections, generally caused by dental caries and periodontal disease, can result in fatal illness. We herein report a 71-year-old Japanese woman with type 2 diabetes and hemodialysis who suffered from multiple dentofacial abscesses mainly caused by multidrug-resistant Streptococcus oralis. She complained of pain and swelling of her face, with an extraoral fistula from the left cheek. Following 3 surgical debridement procedures and partial mandibulectomy, in addition to 12 weeks of antimicrobial therapy, the multiple dentofacial abscesses were ameliorated. A combination of surgical and antimicrobial treatments following an early diagnosis is essential for reducing further complications.",

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AU - Okamoto, Kayo

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AU - Otsuka, Fumio

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PY - 2020

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N2 - Odontogenic infections, generally caused by dental caries and periodontal disease, can result in fatal illness. We herein report a 71-year-old Japanese woman with type 2 diabetes and hemodialysis who suffered from multiple dentofacial abscesses mainly caused by multidrug-resistant Streptococcus oralis. She complained of pain and swelling of her face, with an extraoral fistula from the left cheek. Following 3 surgical debridement procedures and partial mandibulectomy, in addition to 12 weeks of antimicrobial therapy, the multiple dentofacial abscesses were ameliorated. A combination of surgical and antimicrobial treatments following an early diagnosis is essential for reducing further complications.

AB - Odontogenic infections, generally caused by dental caries and periodontal disease, can result in fatal illness. We herein report a 71-year-old Japanese woman with type 2 diabetes and hemodialysis who suffered from multiple dentofacial abscesses mainly caused by multidrug-resistant Streptococcus oralis. She complained of pain and swelling of her face, with an extraoral fistula from the left cheek. Following 3 surgical debridement procedures and partial mandibulectomy, in addition to 12 weeks of antimicrobial therapy, the multiple dentofacial abscesses were ameliorated. A combination of surgical and antimicrobial treatments following an early diagnosis is essential for reducing further complications.

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