From dental infection to extradural empyema: a case report

• Main Authors: Comte Clément, Hasnaoui Nasr
• Format: Article
• Language: English
• Published: EDP Sciences 2019-01-01
• Series: Journal of Oral Medicine and Oral Surgery
• Subjects: empyema; extradural; dental; brain
• Online Access: https://www.jomos.org/articles/mbcb/full_html/2019/02/mbcb180061/mbcb180061.html

Introduction: Brain infections of dental origin are rare, but well-known and accurately described. There are two different brain infections: brain abscess, the most frequent, and extradural or subdural empyema. Here, we discuss the case of an extradural empyema. Observation: A 28-year-old man with a very poor dental condition showed neurological and eye infection signs. A brain and face CT scan revealed extradural empyema, orbit abscess and pansinusitis. These infections had all dental origin: an apical lesion of tooth 26. Discussion: Such severe cases must be surgically and medically treated with a strong antibiotic therapy. A systematic investigation and the treatment of dental infected areas are both necessary.