Infect Chemother.  2012 Apr;44(2):84-86. 10.3947/ic.2012.44.2.84.

A Case of Septic Shock by Prevotella Species associated with Acute Periapical Abscess

• Jung MY
• Ahn SM
• Choi BY
• Seo SI
• Kim SS
• Choi HS
• Lim SJ
• Lee JS
• Eom JS

• KMID: 2054442
• DOI: http://doi.org/10.3947/ic.2012.44.2.84

Abstract

A healthy 34-year-old man was admitted to the intensive care unit through the emergency room with a drowsy mentality and severe chilling. Following a diagnosis of septic shock of unknown origin, the patient was treated with broad spectrum antibiotics and massive hydration. After recovery of consciousness, he complained of a severe toothache that originated from the right lower teeth. Under dental consultation, he was diagnosed as having an acute periapical abscess of the right mandibular first molar. The patient underwent extraction and cyst enucleation. Gram negative bacilli isolated from blood culture on day 5 after admission were identified as Prevotella species. After receiving antibiotic treatment and undergoing dental procedures, the patient made a full recovery. We report on a case of septic shock due to infection by Prevotella species in association with an acute periapical abscess.

Keyword

Periapical abscess; Septic shock; Prevotella species

MeSH Terms

Adult
Anti-Bacterial Agents
Consciousness
Emergencies
Humans
Intensive Care Units
Molar
Periapical Abscess
Prevotella
Shock, Septic
Tooth
Toothache
Anti-Bacterial Agents

Figure

• 

  Figure 1 Unilocular radiolucent lesion on an apical area having a partial hyperostotic border with an indistinct border, involving tooth on, with no finding of root resorption was seen on panoramic X-ray.

• 

  Figure 2 A unilocular cystic lesion is observed on an apical area of the right first molar on CT scan.

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