Multiple brain abscesses in an immunocompetent patient after undergoing professional tooth cleaning

The authors present the case of a patient who developed multiple brain abscesses after undergoing professional tooth cleaning. The results of a diagnostic work-up ruled out an underlying immunodeficiency.

Sekundær artikel Dato: 06.01.2015

Background - Dental disorders and dental treatment are among the variety of causes of brain abscess.

Case description - The authors present the case of a patient who developed multiple brain abscesses after undergoing professional tooth cleaning. The results of a diagnostic work-up ruled out an underlying immunodeficiency. After receiving neurosurgical intervention and intensive care treatment by means of local and intravenous antibiotics for 24 days, the patient was transferred to another hospital for rehabilitation. Six months after the treatment, the patient still had moderate residual paresis of the left leg.

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Forfattere

Lars Pallesen,

tandlæge, Afdeling for Tand-, Mund- og Kæbekirurgi, Glostrup Hospital og HovedOrtoCentret, Rigshospitalet

Jochen Schaefer,

senior physician and a neurologist, MD, Department of Neurology, Technical University Dresden, Germany

Ulrike Reuner,

senior physician and a neurologist, MD, Department of Neurology, Technical University Dresden, Germany

Henry Leonhardt,

MD, DMD, Department of Oral and Maxillofacial Surgery, Technical University Dresden, Germany

Kay Engellandt,

senior physician, MD, Department of Neuroradiology, Technical University Dresden, Germany

Hauke Schneider,

senior physician and a neurologist, MD, Department of Neurology, Technical University Dresden, Germany

Heinz Reichmann,

professor and the chair, MD, ph.d, Department of Neurology, and the dean of the medical faculty, Technical University Dresden, Germany

Volker Puetz,

senior physician and a neurologist, MD, Department of Neuroradiology, Technical University Dresden, Germany

Emner