A Case of Systemic Infection Caused by Streptococcus pyogenes Oral Infection in an Edentulous Patient
Identifieur interne : 000382 ( Main/Exploration ); précédent : 000381; suivant : 000383A Case of Systemic Infection Caused by Streptococcus pyogenes Oral Infection in an Edentulous Patient
Auteurs : Yumi Inagaki ; Masanobu Abe [Japon] ; Ryoko Inaki ; Liang Zong ; Hideyuki Suenaga ; Takahiro Abe ; Kazuto HoshiSource :
- Diseases [ 2079-9721 ] ; 2017.
Abstract
Background: Infections in the oral and maxillofacial region can sometimes extend beyond the oral cavity, with serious consequences. Most oral infections are odontogenic, occurring through the root apex of the tooth or the periodontal pocket. It thus makes sense that edentulous patients have a much lower risk of oral bacterial infection. For this reason, while there are many reports on systemic infections caused by oral infections, few of these describe such infections in edentulous patients. Case presentation: We present a case of oral and maxillofacial cellulitis followed by sepsis due to
Url:
DOI: 10.3390/diseases5030017
PubMed: 28933370
PubMed Central: 5622333
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A Case of Systemic Infection Caused by <italic>Streptococcus pyogenes</italic> Oral Infection in an Edentulous Patient</title><author><name sortKey="Inagaki, Yumi" sort="Inagaki, Yumi" uniqKey="Inagaki Y" first="Yumi" last="Inagaki">Yumi Inagaki</name><affiliation><nlm:aff id="af1-diseases-05-00017">Department of Oral & Maxillofacial Surgery, University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan;<email>17yumiii@gmail.com</email> (Y.I.);<email>rinaki-tky@umin.net</email> (R.I.);<email>SUENAGAH-ORA@h.u-tokyo.ac.jp</email> (H.S.);<email>ABET-ORA@h.u-tokyo.ac.jp</email> (T.A.);<email>HOSHI-ORT@h.u-tokyo.ac.jp</email> (K.H.)</nlm:aff></affiliation></author><author><name sortKey="Abe, Masanobu" sort="Abe, Masanobu" uniqKey="Abe M" first="Masanobu" last="Abe">Masanobu Abe</name><affiliation><nlm:aff id="af1-diseases-05-00017">Department of Oral & Maxillofacial Surgery, University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan;<email>17yumiii@gmail.com</email> (Y.I.);<email>rinaki-tky@umin.net</email> (R.I.);<email>SUENAGAH-ORA@h.u-tokyo.ac.jp</email> (H.S.);<email>ABET-ORA@h.u-tokyo.ac.jp</email> (T.A.);<email>HOSHI-ORT@h.u-tokyo.ac.jp</email> (K.H.)</nlm:aff></affiliation><affiliation wicri:level="4"><nlm:aff id="af2-diseases-05-00017">Division for Health Service Promotion, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-003, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division for Health Service Promotion, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-003</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region><settlement type="city">Tokyo</settlement></placeName><orgName type="university">Université de Tokyo</orgName></affiliation></author><author><name sortKey="Inaki, Ryoko" sort="Inaki, Ryoko" uniqKey="Inaki R" first="Ryoko" last="Inaki">Ryoko Inaki</name><affiliation><nlm:aff id="af1-diseases-05-00017">Department of Oral & Maxillofacial Surgery, University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan;<email>17yumiii@gmail.com</email> (Y.I.);<email>rinaki-tky@umin.net</email> (R.I.);<email>SUENAGAH-ORA@h.u-tokyo.ac.jp</email> (H.S.);<email>ABET-ORA@h.u-tokyo.ac.jp</email> (T.A.);<email>HOSHI-ORT@h.u-tokyo.ac.jp</email> (K.H.)</nlm:aff></affiliation></author><author><name sortKey="Zong, Liang" sort="Zong, Liang" uniqKey="Zong L" first="Liang" last="Zong">Liang Zong</name><affiliation><nlm:aff id="af3-diseases-05-00017">Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Gastrointestinal Surgery, Peking University Cancer Hospital & Institute, Beijing 100142, China;<email>zl20014111@163.com</email></nlm:aff></affiliation></author><author><name sortKey="Suenaga, Hideyuki" sort="Suenaga, Hideyuki" uniqKey="Suenaga H" first="Hideyuki" last="Suenaga">Hideyuki Suenaga</name><affiliation><nlm:aff id="af1-diseases-05-00017">Department of Oral & Maxillofacial Surgery, University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan;<email>17yumiii@gmail.com</email> (Y.I.);<email>rinaki-tky@umin.net</email> (R.I.);<email>SUENAGAH-ORA@h.u-tokyo.ac.jp</email> (H.S.);<email>ABET-ORA@h.u-tokyo.ac.jp</email> (T.A.);<email>HOSHI-ORT@h.u-tokyo.ac.jp</email> (K.H.)</nlm:aff></affiliation></author><author><name sortKey="Abe, Takahiro" sort="Abe, Takahiro" uniqKey="Abe T" first="Takahiro" last="Abe">Takahiro Abe</name><affiliation><nlm:aff id="af1-diseases-05-00017">Department of Oral & Maxillofacial Surgery, University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan;<email>17yumiii@gmail.com</email> (Y.I.);<email>rinaki-tky@umin.net</email> (R.I.);<email>SUENAGAH-ORA@h.u-tokyo.ac.jp</email> (H.S.);<email>ABET-ORA@h.u-tokyo.ac.jp</email> (T.A.);<email>HOSHI-ORT@h.u-tokyo.ac.jp</email> (K.H.)</nlm:aff></affiliation></author><author><name sortKey="Hoshi, Kazuto" sort="Hoshi, Kazuto" uniqKey="Hoshi K" first="Kazuto" last="Hoshi">Kazuto Hoshi</name><affiliation><nlm:aff id="af1-diseases-05-00017">Department of Oral & Maxillofacial Surgery, University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan;<email>17yumiii@gmail.com</email> (Y.I.);<email>rinaki-tky@umin.net</email> (R.I.);<email>SUENAGAH-ORA@h.u-tokyo.ac.jp</email> (H.S.);<email>ABET-ORA@h.u-tokyo.ac.jp</email> (T.A.);<email>HOSHI-ORT@h.u-tokyo.ac.jp</email> (K.H.)</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28933370</idno><idno type="pmc">5622333</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5622333</idno><idno type="RBID">PMC:5622333</idno><idno type="doi">10.3390/diseases5030017</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">001C62</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001C62</idno><idno type="wicri:Area/Pmc/Curation">001C62</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001C62</idno><idno type="wicri:Area/Pmc/Checkpoint">000354</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000354</idno><idno type="wicri:Area/Ncbi/Merge">007203</idno><idno type="wicri:Area/Ncbi/Curation">007203</idno><idno type="wicri:Area/Ncbi/Checkpoint">007203</idno><idno type="wicri:Area/Main/Merge">000382</idno><idno type="wicri:Area/Main/Curation">000382</idno><idno type="wicri:Area/Main/Exploration">000382</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A Case of Systemic Infection Caused by <italic>Streptococcus pyogenes</italic> Oral Infection in an Edentulous Patient</title><author><name sortKey="Inagaki, Yumi" sort="Inagaki, Yumi" uniqKey="Inagaki Y" first="Yumi" last="Inagaki">Yumi Inagaki</name><affiliation><nlm:aff id="af1-diseases-05-00017">Department of Oral & Maxillofacial Surgery, University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan;<email>17yumiii@gmail.com</email> (Y.I.);<email>rinaki-tky@umin.net</email> (R.I.);<email>SUENAGAH-ORA@h.u-tokyo.ac.jp</email> (H.S.);<email>ABET-ORA@h.u-tokyo.ac.jp</email> (T.A.);<email>HOSHI-ORT@h.u-tokyo.ac.jp</email> (K.H.)</nlm:aff></affiliation></author><author><name sortKey="Abe, Masanobu" sort="Abe, Masanobu" uniqKey="Abe M" first="Masanobu" last="Abe">Masanobu Abe</name><affiliation><nlm:aff id="af1-diseases-05-00017">Department of Oral & Maxillofacial Surgery, University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan;<email>17yumiii@gmail.com</email> (Y.I.);<email>rinaki-tky@umin.net</email> (R.I.);<email>SUENAGAH-ORA@h.u-tokyo.ac.jp</email> (H.S.);<email>ABET-ORA@h.u-tokyo.ac.jp</email> (T.A.);<email>HOSHI-ORT@h.u-tokyo.ac.jp</email> (K.H.)</nlm:aff></affiliation><affiliation wicri:level="4"><nlm:aff id="af2-diseases-05-00017">Division for Health Service Promotion, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-003, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division for Health Service Promotion, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-003</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region><settlement type="city">Tokyo</settlement></placeName><orgName type="university">Université de Tokyo</orgName></affiliation></author><author><name sortKey="Inaki, Ryoko" sort="Inaki, Ryoko" uniqKey="Inaki R" first="Ryoko" last="Inaki">Ryoko Inaki</name><affiliation><nlm:aff id="af1-diseases-05-00017">Department of Oral & Maxillofacial Surgery, University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan;<email>17yumiii@gmail.com</email> (Y.I.);<email>rinaki-tky@umin.net</email> (R.I.);<email>SUENAGAH-ORA@h.u-tokyo.ac.jp</email> (H.S.);<email>ABET-ORA@h.u-tokyo.ac.jp</email> (T.A.);<email>HOSHI-ORT@h.u-tokyo.ac.jp</email> (K.H.)</nlm:aff></affiliation></author><author><name sortKey="Zong, Liang" sort="Zong, Liang" uniqKey="Zong L" first="Liang" last="Zong">Liang Zong</name><affiliation><nlm:aff id="af3-diseases-05-00017">Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Gastrointestinal Surgery, Peking University Cancer Hospital & Institute, Beijing 100142, China;<email>zl20014111@163.com</email></nlm:aff></affiliation></author><author><name sortKey="Suenaga, Hideyuki" sort="Suenaga, Hideyuki" uniqKey="Suenaga H" first="Hideyuki" last="Suenaga">Hideyuki Suenaga</name><affiliation><nlm:aff id="af1-diseases-05-00017">Department of Oral & Maxillofacial Surgery, University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan;<email>17yumiii@gmail.com</email> (Y.I.);<email>rinaki-tky@umin.net</email> (R.I.);<email>SUENAGAH-ORA@h.u-tokyo.ac.jp</email> (H.S.);<email>ABET-ORA@h.u-tokyo.ac.jp</email> (T.A.);<email>HOSHI-ORT@h.u-tokyo.ac.jp</email> (K.H.)</nlm:aff></affiliation></author><author><name sortKey="Abe, Takahiro" sort="Abe, Takahiro" uniqKey="Abe T" first="Takahiro" last="Abe">Takahiro Abe</name><affiliation><nlm:aff id="af1-diseases-05-00017">Department of Oral & Maxillofacial Surgery, University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan;<email>17yumiii@gmail.com</email> (Y.I.);<email>rinaki-tky@umin.net</email> (R.I.);<email>SUENAGAH-ORA@h.u-tokyo.ac.jp</email> (H.S.);<email>ABET-ORA@h.u-tokyo.ac.jp</email> (T.A.);<email>HOSHI-ORT@h.u-tokyo.ac.jp</email> (K.H.)</nlm:aff></affiliation></author><author><name sortKey="Hoshi, Kazuto" sort="Hoshi, Kazuto" uniqKey="Hoshi K" first="Kazuto" last="Hoshi">Kazuto Hoshi</name><affiliation><nlm:aff id="af1-diseases-05-00017">Department of Oral & Maxillofacial Surgery, University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan;<email>17yumiii@gmail.com</email> (Y.I.);<email>rinaki-tky@umin.net</email> (R.I.);<email>SUENAGAH-ORA@h.u-tokyo.ac.jp</email> (H.S.);<email>ABET-ORA@h.u-tokyo.ac.jp</email> (T.A.);<email>HOSHI-ORT@h.u-tokyo.ac.jp</email> (K.H.)</nlm:aff></affiliation></author></analytic><series><title level="j">Diseases</title><idno type="eISSN">2079-9721</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Background: Infections in the oral and maxillofacial region can sometimes extend beyond the oral cavity, with serious consequences. Most oral infections are odontogenic, occurring through the root apex of the tooth or the periodontal pocket. It thus makes sense that edentulous patients have a much lower risk of oral bacterial infection. For this reason, while there are many reports on systemic infections caused by oral infections, few of these describe such infections in edentulous patients. Case presentation: We present a case of oral and maxillofacial cellulitis followed by sepsis due to <italic>Streptococcus pyogenes</italic> infection in an 89-year-old Japanese edentulous woman. <italic>S. pyogenes</italic> was detected in the wound of left maxilla and the blood sample. <italic>S. pyogenes</italic> has been reported to be one of the most common and influential aerobic bacteria associated with deep neck infection and subsequent systemic infection. Left maxillary sinusitis was observed, and this could be the origin of the <italic>S. pyogenes</italic> infection. <italic>S. pyogenes</italic> derived from the sinusitis and leaked to the oral cavity might have caused systemic infection through wounding of the oral mucosa. Fortunately, intensive antibiotic therapy was effective, and the patient recovered without any surgical procedures. Conclusions: We experienced a rare case of oral and maxillofacial cellulitis followed by sepsis due to a <italic>Streptococcus pyogenes</italic> infection in an old edentulous woman. This result indicated that, while edentulous patients are considered to have no risk of odontogenic infection, they still carry a risk of bacterial infection. </p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Huang, T T" uniqKey="Huang T">T.T. Huang</name></author><author><name sortKey="Tseng, F Y" uniqKey="Tseng F">F.Y. 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Danser</name></author><author><name sortKey="Van Winkelhoff, A J" uniqKey="Van Winkelhoff A">A.J. van Winkelhoff</name></author><author><name sortKey="Van Der Velden, U" uniqKey="Van Der Velden U">U. van der Velden</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Meltzer, D E" uniqKey="Meltzer D">D.E. Meltzer</name></author><author><name sortKey="Shatzkes, D R" uniqKey="Shatzkes D">D.R. Shatzkes</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bahl, R" uniqKey="Bahl R">R. Bahl</name></author><author><name sortKey="Sandhu, S" uniqKey="Sandhu S">S. Sandhu</name></author><author><name sortKey="Singh, K" uniqKey="Singh K">K. Singh</name></author><author><name sortKey="Sahai, N" uniqKey="Sahai N">N. Sahai</name></author><author><name sortKey="Gupta, M" uniqKey="Gupta M">M. Gupta</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rega, A J" uniqKey="Rega A">A.J. Rega</name></author><author><name sortKey="Aziz, S R" uniqKey="Aziz S">S.R. Aziz</name></author><author><name sortKey="Ziccardi, V B" uniqKey="Ziccardi V">V.B. Ziccardi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Storoe, W" uniqKey="Storoe W">W. Storoe</name></author><author><name sortKey="Haug, R H" uniqKey="Haug R">R.H. Haug</name></author><author><name sortKey="Lillich, T T" uniqKey="Lillich T">T.T. Lillich</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fenaux, P" uniqKey="Fenaux P">P. Fenaux</name></author><author><name sortKey="Haase, D" uniqKey="Haase D">D. Haase</name></author><author><name sortKey="Sanz, G F" uniqKey="Sanz G">G.F. Sanz</name></author><author><name sortKey="Santini, V" uniqKey="Santini V">V. Santini</name></author><author><name sortKey="Buske, C" uniqKey="Buske C">C. Buske</name></author><author><name sortKey="Group, E G W" uniqKey="Group E">E.G.W. Group</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ades, L" uniqKey="Ades L">L. Ades</name></author><author><name sortKey="Itzykson, R" uniqKey="Itzykson R">R. Itzykson</name></author><author><name sortKey="Fenaux, P" uniqKey="Fenaux P">P. Fenaux</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Japon</li></country><region><li>Région de Kantō</li></region><settlement><li>Tokyo</li></settlement><orgName><li>Université de Tokyo</li></orgName></list><tree><noCountry><name sortKey="Abe, Takahiro" sort="Abe, Takahiro" uniqKey="Abe T" first="Takahiro" last="Abe">Takahiro Abe</name><name sortKey="Hoshi, Kazuto" sort="Hoshi, Kazuto" uniqKey="Hoshi K" first="Kazuto" last="Hoshi">Kazuto Hoshi</name><name sortKey="Inagaki, Yumi" sort="Inagaki, Yumi" uniqKey="Inagaki Y" first="Yumi" last="Inagaki">Yumi Inagaki</name><name sortKey="Inaki, Ryoko" sort="Inaki, Ryoko" uniqKey="Inaki R" first="Ryoko" last="Inaki">Ryoko Inaki</name><name sortKey="Suenaga, Hideyuki" sort="Suenaga, Hideyuki" uniqKey="Suenaga H" first="Hideyuki" last="Suenaga">Hideyuki Suenaga</name><name sortKey="Zong, Liang" sort="Zong, Liang" uniqKey="Zong L" first="Liang" last="Zong">Liang Zong</name></noCountry><country name="Japon"><region name="Région de Kantō"><name sortKey="Abe, Masanobu" sort="Abe, Masanobu" uniqKey="Abe M" first="Masanobu" last="Abe">Masanobu Abe</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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