Misdiagnosis of Extensive Maxillofacial Infection and Its Relationship with Periodontal Problems and Hyperglycemia

Background. Complex dental infections can reach distant areas of the alveolar process, invading the secondary fascial spaces. Objectives. This case report aims to show a misdiagnosis of odontogenic infection and a great need for dentist in the hospital environment. Case Report. A male patient presen...

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Main Authors: Cristian Statkievicz, Leonardo P. Faverani, Pedro Henrique Silva Gomes-Ferreira, Gabriel Ramalho-Ferreira, Idelmo Rangel Garcia-Junior
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2016/5960546
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author Cristian Statkievicz
Leonardo P. Faverani
Pedro Henrique Silva Gomes-Ferreira
Gabriel Ramalho-Ferreira
Idelmo Rangel Garcia-Junior
author_facet Cristian Statkievicz
Leonardo P. Faverani
Pedro Henrique Silva Gomes-Ferreira
Gabriel Ramalho-Ferreira
Idelmo Rangel Garcia-Junior
author_sort Cristian Statkievicz
collection DOAJ
description Background. Complex dental infections can reach distant areas of the alveolar process, invading the secondary fascial spaces. Objectives. This case report aims to show a misdiagnosis of odontogenic infection and a great need for dentist in the hospital environment. Case Report. A male patient presented facial asymmetry and trismus, while the facial CT examination showed a hyperdense mass involving the left masseteric, pterygomandibular, and superficial temporal regions. The patient was then referred to oral oncology center by emergency physician with cancer suspicion. After 15 days, the patient returned to the same emergency room and was attended by the surgical and maxillofacial trauma team, presenting tachycardia, tachypnea, dysphagia, and trismus. During anamnesis, the patient reported being an uncontrolled diabetic. In intraoral exam, a poor oral condition and generalized periodontitis were observed. Results. Correct diagnosis of odontogenic infection was established and adequately treated. Conclusions. Symptomatology bland may mask the severity of an infection; every increase in volume associated with trismus, poor oral hygiene with or without hyperglycemia should be heavily investigated for the presence of an infectious process. It emphasizes the importance of a dentist working with the physician in emergency room.
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spelling doaj-art-3931f8917a034590868b54734449013d2025-02-03T06:46:12ZengWileyCase Reports in Dentistry2090-64472090-64552016-01-01201610.1155/2016/59605465960546Misdiagnosis of Extensive Maxillofacial Infection and Its Relationship with Periodontal Problems and HyperglycemiaCristian Statkievicz0Leonardo P. Faverani1Pedro Henrique Silva Gomes-Ferreira2Gabriel Ramalho-Ferreira3Idelmo Rangel Garcia-Junior4Department of Surgery and Integrated Clinic, Aracatuba Dental School, Universidade Estadual Paulista (UNESP), 16015-050 Araçatuba, SP, BrazilDepartment of Surgery and Integrated Clinic, Aracatuba Dental School, Universidade Estadual Paulista (UNESP), 16015-050 Araçatuba, SP, BrazilDepartment of Surgery and Integrated Clinic, Aracatuba Dental School, Universidade Estadual Paulista (UNESP), 16015-050 Araçatuba, SP, BrazilDepartment of Surgery and Integrated Clinic, Aracatuba Dental School, Universidade Estadual Paulista (UNESP), 16015-050 Araçatuba, SP, BrazilDepartment of Surgery and Integrated Clinic, Aracatuba Dental School, Universidade Estadual Paulista (UNESP), 16015-050 Araçatuba, SP, BrazilBackground. Complex dental infections can reach distant areas of the alveolar process, invading the secondary fascial spaces. Objectives. This case report aims to show a misdiagnosis of odontogenic infection and a great need for dentist in the hospital environment. Case Report. A male patient presented facial asymmetry and trismus, while the facial CT examination showed a hyperdense mass involving the left masseteric, pterygomandibular, and superficial temporal regions. The patient was then referred to oral oncology center by emergency physician with cancer suspicion. After 15 days, the patient returned to the same emergency room and was attended by the surgical and maxillofacial trauma team, presenting tachycardia, tachypnea, dysphagia, and trismus. During anamnesis, the patient reported being an uncontrolled diabetic. In intraoral exam, a poor oral condition and generalized periodontitis were observed. Results. Correct diagnosis of odontogenic infection was established and adequately treated. Conclusions. Symptomatology bland may mask the severity of an infection; every increase in volume associated with trismus, poor oral hygiene with or without hyperglycemia should be heavily investigated for the presence of an infectious process. It emphasizes the importance of a dentist working with the physician in emergency room.http://dx.doi.org/10.1155/2016/5960546
spellingShingle Cristian Statkievicz
Leonardo P. Faverani
Pedro Henrique Silva Gomes-Ferreira
Gabriel Ramalho-Ferreira
Idelmo Rangel Garcia-Junior
Misdiagnosis of Extensive Maxillofacial Infection and Its Relationship with Periodontal Problems and Hyperglycemia
Case Reports in Dentistry
title Misdiagnosis of Extensive Maxillofacial Infection and Its Relationship with Periodontal Problems and Hyperglycemia
title_full Misdiagnosis of Extensive Maxillofacial Infection and Its Relationship with Periodontal Problems and Hyperglycemia
title_fullStr Misdiagnosis of Extensive Maxillofacial Infection and Its Relationship with Periodontal Problems and Hyperglycemia
title_full_unstemmed Misdiagnosis of Extensive Maxillofacial Infection and Its Relationship with Periodontal Problems and Hyperglycemia
title_short Misdiagnosis of Extensive Maxillofacial Infection and Its Relationship with Periodontal Problems and Hyperglycemia
title_sort misdiagnosis of extensive maxillofacial infection and its relationship with periodontal problems and hyperglycemia
url http://dx.doi.org/10.1155/2016/5960546
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