Abstract
Case report. To report 2 unusual cases of Pseudomonas aeruginosa epidural abscesses and cervical osteomyelitis after routine dental extractions and to review relevant literature. Pseudomonas aeruginosa is a rare cause of cervical osteomyelitis in patients after dental extractions. Only 1 prior case could be found in the literature. The cases of an 18-year-old male and a 23-year-old female are presented. PubMed was used to search for relevant literature. Our 2 patients presented with excruciating neck pain within 24 hours of routine dental extractions and, by imaging were found to have cervical epidural abscesses and osteomyelitis. Both patients were taken to the operating room for drainage and corpectomy and treated with prolonged courses of intravenous antibiotics. When seen in follow up 3 months later, neither patient demonstrated any neurologic sequelae. Pseudomonas aeruginosa epidural abscesses and osteomyelitis of the cervical spine have only rarely been reported in healthy patients after dental extractions. To our knowledge, the 2 patients reported here are only the second 2 such cases reported in the literature. Unfortunately, as in prior cases, these 2 patients had a significant delay in diagnosis. Therefore, a strong s...Continue Reading
References
Nov 1, 1977·Neurology·B Jabbari, J F Pierce
Jul 1, 1990·Dental Materials : Official Publication of the Academy of Dental Materials·P G FotosV D Williams
Oct 1, 1973·Radiology·N I SalahuddinW R Eyler
Dec 1, 1974·Journal of Neurology, Neurosurgery, and Psychiatry·J A Feigenbaum, W E Stern
Mar 1, 1967·Oral Surgery, Oral Medicine, and Oral Pathology·S A HollinS W Gross
May 1, 1980·Radiology·L E PinckneyC L Highgenboten
Dec 17, 1997·The Journal of Prosthetic Dentistry·D L MitchellR E McCallum
Jan 7, 2004·The British Journal of Oral & Maxillofacial Surgery·P L RamchandaniW J N Peters
Feb 21, 2006·Heart·G J RobertsV S Lucas
Oct 14, 2006·Water Science and Technology : a Journal of the International Association on Water Pollution Research·A MavridouF Komioti
Oct 21, 2006·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Mario F Muñoz-GuerraLuis Naval Gías
Jan 24, 2007·Oral Diseases·I TomásP Diz
Jan 26, 2007·International Journal of Dental Hygiene·A S Al-HiyasatY S Khader
Citations
Dec 18, 2009·Pediatric Emergency Care·John M Henton, Hossam S Dabis
Dec 30, 2014·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Michael D DarleyTed R Mikuls
Oct 28, 2014·Korean Journal of Spine·Bang Sang HahnYong-Eun Cho
Dec 31, 2015·Clinical Medicine Insights. Case Reports·H KakarlapudiM Bhargava
Jul 12, 2017·Spinal Cord Series and Cases·Faris ShweikehGeorges Z Markarian
Jul 9, 2020·Surgical Neurology International·Nancy Epstein
Jul 24, 2021·The Journal of Hospital Infection·G PaulN Jung