下顎の歯性感染症から継発した多発性頭蓋内膿瘍の1例

  • 平井 秀明
    山梨県立中央病院口腔外科 東京医科歯科大学大学院医歯学総合研究科顎口腔外科学分野
  • 三澤 常美
    山梨県立中央病院口腔外科
  • 小村 健
    東京医科歯科大学大学院医歯学総合研究科顎口腔外科学分野
  • 河西 八郎
    山梨県立中央病院口腔外科

書誌事項

タイトル別名
  • A case of multiple intracranial abscesses secondary to mandibular odontogenic infection
  • カガク ノ シセイ カンセンショウ カラ ケイハツ シタ タハツセイ トウガイ ナイ ノウヨウ ノ 1レイ

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説明

We report a rare case of multiple intracranial abscesses secondary to mandibular odontogenic infection. A 62-year-old man was admitted to our hospital because of general malaise, which developed after swelling of the right cheek, masticatory pain, and trismus. We detected no abnormality in the oral cavity, but hematologic examinations showed elevated levels of white blood cells and C-reactive protein. The patient was hospitalized for further evaluation. A computed tomographic scan revealed multiple intracranial shadows. After consultation with the Department of Neurosurgery, multiple intracranial abscesses secondary to mandibular odontogenic infection were diagnosed. The patient was transferred to the Department of Neurosurgery, and conservative therapy was administered. However, the symptoms worsened. Therefore, drainage by craniotomy was performed to remove the abscess. After surgery, we extracted the right lower second molar as the infection source because a magnetic resonance imaging scan showed no evidence of multiple intracranial abscesses. Subsequently, he recovered well without any sequelae.

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