DİŞ ÇEKİMİNİN YIKICI BİR KOMPLİKASYONU: BOYUN VE MEDİASTİNAL APSENİN EŞLİK ETTİĞİ LEMİERRE SENDROMU

Year 2023, , 514 - 517, 09.10.2023

Duygu İmre Yetkin , Ruhi Onur

https://doi.org/10.18229/kocatepetip.826881

Abstract

Diş çekimi, günlük rutinde sıklıkla uygulanan bir prosedürdür. Orofarengeal floranın aerobik ve anaerobik mikroorganizmalardan zenginliği nedeniyle diş çekimi sonrası ölümcül enfeksiyonlar meydana gelebilir. Orofarengeal enfeksiyonlar, boyun ve mediastene servikal fasya yoluyla yayılabilir ve yaşamı tehdit eden komplikasyonlarla yumuşak dokularda ve damarlarda şiddetli enfeksiyon ve inflamasyona neden olabilir. Diş çekimi sonrası şiddetli derin boyun enfeksiyonu, amfizem, juguler ven tromboflebiti (Lemierre sendromu), mediastinal apse, ampiyemi komplikasyonları olan ve cerrahi olarak mediastinal apsesi boşaltılan bir olguyu literatür eşliğinde takdim ediyoruz. Diş çekimi, diyabetik hastalarda yaşamı tehdit eden komplikasyonlara neden olabilen oral enfeksiyonunun en sık nedenidir.

Keywords

Diş Çekimi, Lemierre Sendromu, Mediastinal Abse.

Supporting Institution

yok

Project Number

yok

Thanks

yok

A DEVASTATING COMPLICATION OF DENTAL EXTRACTION: LEMIERRE’S SYNDROME WITH NECK AND MEDIASTINAL ABSCESS

Abstract

A dental extraction is a frequently performed procedure in daily routine. Fatal infections may occur after dental extraction due to the richness of the oropharyngeal flora from aerobic and anaerobic microorganisms. Oropharyngeal infections can extend into the neck and mediastinum via cervical fascia leading to severe inflammation in soft tissues and vessels with life-threatening complications. We present a patient with complications after dental extraction procedure including severe deep neck inflammation, thrombophlebitis of jugular vein (Lemierre’s syndrome), mediastinal abscess, and empyema. A dental extraction is the most frequent cause of the oral infection that may cause coexisting and individually life-threatening complications in diabetic patients.

Keywords

Dental extraction, Lemierre, Mediastinal Abscess

Project Number

yok

References

• 1. Tan S, Nikolarakos D. Subcutaneous emphysema secondary to dental extraction: A case report. Aust Dent J. 2017;62(1):95-97.
• 2. Arai I, Aoki T, Yamazaki H, et al. Pneumomediastinum and subcutaneous emphysema after dental extraction detected incidentally by regular medical checkup: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107(4):33-8.
• 3. Ghaly B, Bertram A, Naim A. Lemierre’s syndrome: a serious complication of a routine dental procedure. Aust Dent J. 2013;58(2):246-249.
• 4. Fukuchi M, Suzuki O, Nasu D, et al. Descending Necrotizing Mediastinitis Treated with Tooth Extractions following Mediastinal and Cervical Drainage. Case Rep Gastroenterol. 2015;9(3):311-316.
• 5. Makeieff M, Gresillon N, Berthet JP, et al. Management of descending necrotizing mediastinitis. Laryngoscop. 2004; 114:772–775.
• 6. Iwashita H, Matsui N, Tsukamoto S, et al. A case of liver abscess due to Streptococcus anginosus infection secondary to a dentalextraction. Nihon Shokakibyo Gakkai Zasshi. 2015;112(8):1525-32.
• 7. Martina Durovic, Teodora Smiljanic, Francisco Ramón Breijo-Márquez (Editors). Pathogenesis of Endocarditis. In: Tomás I, Álvarez M. Pathogenesis of endocarditis: bacteraemia of oral origin. Spain: InTech open access. 2012:19-49.
• 8. Chang JS, Yoo HK, Yoon SH, et al. Odontogenic infection involving the secondary fascial space in diabetic and non-diabetic patients: a clinical comparative study. J Korean Assoc Oral Maxillofac Surg. 2013;39(4):175–81.
• 9. García RG , Risco-Rojas R, Román-Romero L, Moreno-Garcia C, Garcia CL. Descending necrotizing mediastinitis following dental extraction. Radiological features and surgical treatment considerations. J Craniomaxillofac Surg. 2011;39(5):335-9.
• 10. Ho MW, Dhariwal DK, Chandrasekhar J, et al. Use of interventional radiology in the management of mediastinitis of odontogenic origin. Br J Oral Maxillofac Surg. 2006; 44:538-42.
• 11. Scaglione M, Pinto A, Giovine S, et al. CT features of descending necrotizing mediastinitis e a pictorial essay. Emerg Radiol. 2007;14(2): 77-81.
• 12. Chirinos JA, Lichtstein DM, Garcia J, Tamarız LJ. The evolution of Lemierre syndrome: report of 2 cases and review of the literature. Medicine (Baltimore). 2002;81(6):458-65.
• 13. Albilia JB, Humber CC, Clokie CM, Sandor GKB. Lemierre syndrome from an odontogenic source: a review for dentists. J Can Dent Assoc. 2010;76:a47.