Oral bacterial cultures in nontraumatic brain abscesses: results of a first-line study

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
Andreas Albert MuellerStephan Zimmerer

Abstract

Bacterial cultures from nontraumatic brain abscesses (BAs) frequently contain oral bacteria. We assessed bacterial cultures from BAs and oral infective sources for a bacterial match. Bacterial samples from brain abscesses and oral abscesses, and at sites with probing depths >or=3.5 mm were taken from 11 nontraumatic BA patients and analyzed. Brain abscess bacterial cultures were obtained in 9 of the 11 cases, which revealed 5 cases of Streptococcus milleri group bacteria and 4 cases of subgingival flora. The bacteriologic results were interpreted taking all medical and bacteriologic findings into account, which made an oral origin of the BAs most likely in 6 of the 11 cases: from an oral abscess and from the subgingival flora in 3 cases each. Early collaboration between neurosurgeons, infectious disease specialists, and oral-maxillofacial surgeons will aid the identification and treatment of suspected oral sources of nontraumatic BAs.

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Citations

May 19, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Stephan M E ZimmererKatja C Schwenzer-Zimmerer
Feb 22, 2016·International orthodontics·Onyinye Dorothy UmehFrancisca Obiageri Nwaokorie
May 31, 2016·The Journal of Evidence-based Dental Practice·Rebecca L Stolberg, Terri Tilliss
Mar 24, 2012·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·J KlattP Pohlenz
Oct 11, 2011·Oral and Maxillofacial Surgery Clinics of North America·Stewart K LazowDavid Vazquez
Dec 25, 2015·The Journal of the American Academy of Orthopaedic Surgeons·Chris A CornettAngela Hewlett
Mar 25, 2015·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Alan A MoazzamMina Habibian
Apr 1, 2010·Journal of Bronchology & Interventional Pulmonology·Kota G ChettyFarhad Mazdisian
Mar 14, 2017·Journal of Maxillofacial and Oral Surgery·Masaya AkashiTakahide Komori
Jun 18, 2020·Surgical Neurology International·Ruth PrietoLuis Fernando López-Pájaro

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