Isolated Meningitis and Lacrimal Gland Abscess due to Odontogenic Sinusitis: Case Report

ABSTRACT: Our objective was report an extremely rare case of isolated meningitis and suppurative dacrioadenitis as consequences of odontogenic sinusitis. We describe the diagnostic tools including imaging and culture, as well as surgical treatment and follow-up. Our final diagnosis was odontogenic s...

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Autores principales: Gradoni,P, Latini,G, Battistoni,M, D'Ascanio,L
Lenguaje:English
Publicado: Universidad de La Frontera. Facultad de Medicina 2020
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2020000400586
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spelling oai:scielo:S0718-381X20200004005862020-10-05Isolated Meningitis and Lacrimal Gland Abscess due to Odontogenic Sinusitis: Case ReportGradoni,PLatini,GBattistoni,MD'Ascanio,L meninigitis lacrimal gland abscess sinusitis dental infection ABSTRACT: Our objective was report an extremely rare case of isolated meningitis and suppurative dacrioadenitis as consequences of odontogenic sinusitis. We describe the diagnostic tools including imaging and culture, as well as surgical treatment and follow-up. Our final diagnosis was odontogenic sinusitis caused by Streptococcus Anginosus complicated by isolated meningitis and lacrimal gland abscess. Urgent surgical treatment to restore the paranasal sinuses and drainage of the lacrimal gland was performed. Culture from purulent material collected from maxillary sinus indicated the targeted therapy. Clinical assessment and imaging obtained 20 days after surgery demonstrated successful results. This case emphasizes the importance of evaluating intracranial complications of rinosinusitis, the need to search for a dental infection when a maxillary sinusitis is encountered, the key role of a thorough diagnostic workup in order to plan a comprehensive and effective surgical treatment, as well as targeted medical therapy.info:eu-repo/semantics/openAccessUniversidad de La Frontera. Facultad de MedicinaInternational journal of odontostomatology v.14 n.4 20202020-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2020000400586en10.4067/S0718-381X2020000400586
institution Scielo Chile
collection Scielo Chile
language English
topic meninigitis
lacrimal gland abscess
sinusitis
dental infection
spellingShingle meninigitis
lacrimal gland abscess
sinusitis
dental infection
Gradoni,P
Latini,G
Battistoni,M
D'Ascanio,L
Isolated Meningitis and Lacrimal Gland Abscess due to Odontogenic Sinusitis: Case Report
description ABSTRACT: Our objective was report an extremely rare case of isolated meningitis and suppurative dacrioadenitis as consequences of odontogenic sinusitis. We describe the diagnostic tools including imaging and culture, as well as surgical treatment and follow-up. Our final diagnosis was odontogenic sinusitis caused by Streptococcus Anginosus complicated by isolated meningitis and lacrimal gland abscess. Urgent surgical treatment to restore the paranasal sinuses and drainage of the lacrimal gland was performed. Culture from purulent material collected from maxillary sinus indicated the targeted therapy. Clinical assessment and imaging obtained 20 days after surgery demonstrated successful results. This case emphasizes the importance of evaluating intracranial complications of rinosinusitis, the need to search for a dental infection when a maxillary sinusitis is encountered, the key role of a thorough diagnostic workup in order to plan a comprehensive and effective surgical treatment, as well as targeted medical therapy.
author Gradoni,P
Latini,G
Battistoni,M
D'Ascanio,L
author_facet Gradoni,P
Latini,G
Battistoni,M
D'Ascanio,L
author_sort Gradoni,P
title Isolated Meningitis and Lacrimal Gland Abscess due to Odontogenic Sinusitis: Case Report
title_short Isolated Meningitis and Lacrimal Gland Abscess due to Odontogenic Sinusitis: Case Report
title_full Isolated Meningitis and Lacrimal Gland Abscess due to Odontogenic Sinusitis: Case Report
title_fullStr Isolated Meningitis and Lacrimal Gland Abscess due to Odontogenic Sinusitis: Case Report
title_full_unstemmed Isolated Meningitis and Lacrimal Gland Abscess due to Odontogenic Sinusitis: Case Report
title_sort isolated meningitis and lacrimal gland abscess due to odontogenic sinusitis: case report
publisher Universidad de La Frontera. Facultad de Medicina
publishDate 2020
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2020000400586
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AT latinig isolatedmeningitisandlacrimalglandabscessduetoodontogenicsinusitiscasereport
AT battistonim isolatedmeningitisandlacrimalglandabscessduetoodontogenicsinusitiscasereport
AT dascaniol isolatedmeningitisandlacrimalglandabscessduetoodontogenicsinusitiscasereport
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