Septic pulmonary embolism induced by dental infection

Yutaro Shiota, Akihiko Taniguchi, Syota Yuzurio, Naokatsu Horita, Shinobu Hosokawa, Yoichi Watanabe, Hidetoshi Tohmori, Tetsuya Ono

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Abstract

Dental infection can be an important source for septic pulmonary embolism (SPE), but only a few cases of SPE accompanying dental infection have been reported. The aim of this study was to characterize the clinical features of SPE induced by dental infection. Patients who fulfilled the diagnostic criteria described in the text were recruited in a retrospective fashion. All 9 patients were men, with a median age of 59 years (range: 47 to 74 years). Eight patients had chest pain (88.9%), 5 had a preceding toothache (55.6%) and 3 had preceding gingival swelling (33.3%). Blood cultures obtained from 7 patients were negative. Periodontitis was found in all of the cases, periapical periodontitis in 5 cases, and gingival abscess in 3 cases. The median duration of hospitalization was 15 days, and symptoms were mild in some cases. In addition to antimicrobial therapy, tooth extraction was performed in 3 cases, tooth scaling in 6. SPE induced by dental infection has prominent clinical characteristics such as male preponderance, chest pain, preceding toothache, and mild clinical course.

Original languageEnglish
Pages (from-to)253-258
Number of pages6
JournalActa medica Okayama
Volume67
Issue number4
Publication statusPublished - 2013

Keywords

  • Bacteremia
  • Chest pain
  • Multiple nodular shadows
  • Periodontitis
  • Septic pulmonary embolism

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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    Shiota, Y., Taniguchi, A., Yuzurio, S., Horita, N., Hosokawa, S., Watanabe, Y., Tohmori, H., & Ono, T. (2013). Septic pulmonary embolism induced by dental infection. Acta medica Okayama, 67(4), 253-258.