1/9. Odontogenic sinusitis causing orbital cellulitis.BACKGROUND: Odontogenic sinusitis is a well-recognized condition that usually is responsive to standard medical and surgical treatment. Current antibiotic therapy recommendations are directed against the usual odontogenic and sinus flora. CASE DESCRIPTION: The authors present a case of a patient with acute sinusitis initiated by a complicated tooth extraction that did not yield readily to standard treatment. The case was complicated by orbital extension of the sinusitis. The authors isolated methicillin-resistant staphylococcus aureus, or MRSA, species from the affected sinus that usually is not encountered in uncomplicated acute nonnosocomial or odontogenic sinusitis. CLINICAL IMPLICATIONS: Though such forms of resistant microbial flora as MRSA are rare, they may be seen in patients who have a history of intravenous, or i.v., drug use and in immunocompromised patients. Management of patients with orbital extension of sinusitis requires hospitalization and i.v. antibiotic treatment.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/9. Diffuse acute cellulitis with severe neurological sequelae. A clinical case.The incidence of head and neck odontogenic infections considerably diminished in the last decades due to appropriate antibiotic therapy. Herein we describe a case of acute diffuse facial cellulitis following tooth extraction in a patient with no apparent risk factor. During the acute process, injury was caused to the hypoglossal, vagal, glossopharyngeal and recurrent nerves of both sides. For this reason the patient currently has a nasogastric line for enteral feedings and a tracheotomy tube, which significantly affects his quality of life.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
3/9. orbital cellulitis and cavernous sinus thrombosis after cataract extraction and lens implantation.orbital cellulitis as a complication of ophthalmic surgery is uncommon. We treated a patient who had orbital cellulitis and cavernous sinus thrombosis three weeks after uncomplicated cataract extraction and lens implantation. Sinus x-rays showed sphenoid sinus opacification. Computed tomographic scan confirmed the sphenoid sinus disease, and no abscess was found. The patient recovered completely after treatment with intravenous antibiotics. Most orbital cellulitis is secondary to sinus disease. The trauma of surgery and the retrobulbar block must be considered possible causative factors in this patient, but sinus disease is still the most likely cause. Intraocular inflammation did not increase during the illness although the intraocular pressure rose from 14 to 23mmHg.- - - - - - - - - - ranking = 5keywords = extraction (Clic here for more details about this article) |
4/9. Panfacial cellulitis with contralateral orbital cellulitis and blindness after tooth extraction.A case of panfacial cellulitis with contralateral orbital cellulitis and blindness after extraction of a tooth has been reported. Contralateral orbital involvement, with sparing of the ipsilateral eye, constituted the unusual feature. This was considered to be a result of hematogenous spread rather than of direct extension.- - - - - - - - - - ranking = 5keywords = extraction (Clic here for more details about this article) |
5/9. orbital cellulitis due to mucormycosis. A case report.A case of orbital cellulitis caused by mucormycosis developed in a patient subsequent to cataract extraction and during systemic steroid treatment for postoperative complications. Fatal mucormycosis is a rare disease usually beginning with a subcutaneous inflammatory lesion. As the subsequent development of orbital cellulitis is very rare, little has been published on this subject. In cases of subcutaneous mucormycosis, the diagnosis can easily be made by means of histologic examination of the lesion. However, early diagnosis is difficult in cases with orbital involvement, because the most common cause of orbital cellulitis is bacterial. Thus, orbital cellulitis caused by mucormycosis is often wrongly treated with antibacterial agents only, as histologic examination is neither easy nor part of any routine investigation. Therefore, a combined treatment using antibiotics and antifungal agents in immunusuppressed patients with this disease is advocated.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
6/9. The spread of odontogenic infections to the orbit: diagnosis and management.Four cases of orbital cellulitis following the extraction of maxillary molars are presented. The time interval between dental extraction and development of orbital symptoms ranged from two hours to 13 days. All patients presented with fever, elevated leukocyte counts, and radiologic evidence of acute ipsilateral paranasal sinus infection. In addition, one patient presented with meningitis. Predisposing factors in three patients included nephrotic syndrome with chronic antral inflammation, pregnancy with upper respiratory tract infection, and heroin addiction. Sequelae included empyema and death, severe loss of vision, and blindness with ptosis and exotropia. One patient recovered completely. The anatomic pathways by which dental infection can spread to the orbit are discussed, and general therapeutic considerations are emphasized.- - - - - - - - - - ranking = 2keywords = extraction (Clic here for more details about this article) |
7/9. rhabdomyolysis and acute renal failure.In order to determine the prevalence of rhabdomyolysis-associated acute renal failure (RM-ARF) and assess the effect of oliguria on biochemical features in this condition, 127 cases of ARF seen over 18 months were reviewed. Eleven cases of RM-ARF were seen, a prevalence of 8.6% of all cases of ARF. There were ten males and one female (age range 15-72 years) with precipitating events being trauma in three, coma in two, infection in two and other causes in five. Ten had concurrent clinical or historical evidence of dehydration, two had mild hypokalemia, and one abused alcohol. serum and urine myoglobin by radioimmunoassay were greater than 800 ng/l in all cases tested. False negative tests for urine myoglobin by o-tolidine reaction after (NH4)2SO4 extraction occurred in four cases. Despite attempted forced saline diuresis and urinary alkalinisation, seven became oliguric and required dialysis for 12-81 days. Initially (pre-dialysis) oliguric patients had significantly higher maximum serum levels of potassium, phosphate, and rate of rise of creatinine, significantly lower trough levels of calcium, and no significant difference in peak creatine phosphokinase or uric acid levels than non-oliguric patients. Two subjects developed recovery phase hypercalcemia, four required fasciotomy for compartment syndromes, three sustained permanent nerve damage, and three required limb amputation. Ten survived, with a mean creatinine clearance of 96 ml/min after nine to 30 months. RM-ARF is common, may be clinically occult and show false negative urine myoglobin tests. hyperkalemia, hyperphosphatemia, and hypocalcemia are more common in oliguric than in non-oliguric RM-ARF, but both have a good prognosis with appropriate medical and surgical management.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
8/9. Ludwig angina, empyema, pulmonary infiltration, and pericarditis secondary to extraction of a tooth.A case of Ludwig angina after extraction of a mandibular third molar, progressing to pleural effusion and empyema, pericarditis, pulmonary infiltration, and pericardial effusion has been presented. The importance of early diagnosis and treatment as well as appropriate antibiotic and surgical therapy have been discussed. The practice of empirically prescribed antimicrobial agents has also been discussed, and the relevance of the organism E corrodans in oral infections has been emphasized.- - - - - - - - - - ranking = 5keywords = extraction (Clic here for more details about this article) |
9/9. Odontogenic orbital cellulitis. Report of a case and considerations on route of spread.A case of orbitral cellulitis following dental extraction is described. Orbital extension of infection occurred via the retromaxillary infra-temporal fossa, which is an unusual feature.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |