A Case of Septic Shock by Prevotella Species associated with Acute Periapical Abscess.
- Author:
Min Young JUNG
1
;
Sung Min AHN
;
Bo Youn CHOI
;
Seung In SEO
;
Su Sun KIM
;
Hyuk Su CHOI
;
Seung Jin LIM
;
Jin Seo LEE
;
Joong Sik EOM
Author Information
- Publication Type:Case Report
- Keywords: Periapical abscess; Septic shock; Prevotella species
- MeSH: Adult; Anti-Bacterial Agents; Consciousness; Emergencies; Humans; Intensive Care Units; Molar; Periapical Abscess; Prevotella; Shock, Septic; Tooth; Toothache
- From:Infection and Chemotherapy 2012;44(2):84-86
- CountryRepublic of Korea
- Language:Korean
- 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.
