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Septic pulmonary embolism associated with periodontal disease: a case report and literature review
BACKGROUND: Periodontal disease, including periodontitis, has been reported to be a rare cause of septic pulmonary embolism (SPE). It is however extremely difficult to isolate the causative pathogen of periodontal disease-associated SPE from blood cultures of these patients. CASE PRESENTATION: In th...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341628/ https://www.ncbi.nlm.nih.gov/pubmed/30665352 http://dx.doi.org/10.1186/s12879-019-3710-3 |
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author | Watanabe, Tsuyoshi Yokoe, Masamichi Noguchi, Yoshinori |
author_facet | Watanabe, Tsuyoshi Yokoe, Masamichi Noguchi, Yoshinori |
author_sort | Watanabe, Tsuyoshi |
collection | PubMed |
description | BACKGROUND: Periodontal disease, including periodontitis, has been reported to be a rare cause of septic pulmonary embolism (SPE). It is however extremely difficult to isolate the causative pathogen of periodontal disease-associated SPE from blood cultures of these patients. CASE PRESENTATION: In this study, an 85-year-old Japanese man was admitted with fever and worsening malaise. He was later noted to have multiple bilateral subpleural pulmonary nodules on chest computed tomography scan. After admission, Parvimonas micra (P. micra) was isolated from his blood culture. This was followed by a meticulous search for the primary source of SPE, focusing on the head and neck areas. Consequently, apical periodontitis and infratemporal fossa abscess were identified as the primary sources of SPE. Although P. micra is one of the most frequently detected bacteria in the infected root canals of teeth with chronic apical periodontitis, it has rarely been proven as a causative pathogen of periodontal disease-associated SPE. CONCLUSIONS: This case study demonstrated that periodontal disease is an important primary source of SPE and P. micra could be a causative pathogen of SPE. |
format | Online Article Text |
id | pubmed-6341628 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-63416282019-01-24 Septic pulmonary embolism associated with periodontal disease: a case report and literature review Watanabe, Tsuyoshi Yokoe, Masamichi Noguchi, Yoshinori BMC Infect Dis Case Report BACKGROUND: Periodontal disease, including periodontitis, has been reported to be a rare cause of septic pulmonary embolism (SPE). It is however extremely difficult to isolate the causative pathogen of periodontal disease-associated SPE from blood cultures of these patients. CASE PRESENTATION: In this study, an 85-year-old Japanese man was admitted with fever and worsening malaise. He was later noted to have multiple bilateral subpleural pulmonary nodules on chest computed tomography scan. After admission, Parvimonas micra (P. micra) was isolated from his blood culture. This was followed by a meticulous search for the primary source of SPE, focusing on the head and neck areas. Consequently, apical periodontitis and infratemporal fossa abscess were identified as the primary sources of SPE. Although P. micra is one of the most frequently detected bacteria in the infected root canals of teeth with chronic apical periodontitis, it has rarely been proven as a causative pathogen of periodontal disease-associated SPE. CONCLUSIONS: This case study demonstrated that periodontal disease is an important primary source of SPE and P. micra could be a causative pathogen of SPE. BioMed Central 2019-01-21 /pmc/articles/PMC6341628/ /pubmed/30665352 http://dx.doi.org/10.1186/s12879-019-3710-3 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Watanabe, Tsuyoshi Yokoe, Masamichi Noguchi, Yoshinori Septic pulmonary embolism associated with periodontal disease: a case report and literature review |
title | Septic pulmonary embolism associated with periodontal disease: a case report and literature review |
title_full | Septic pulmonary embolism associated with periodontal disease: a case report and literature review |
title_fullStr | Septic pulmonary embolism associated with periodontal disease: a case report and literature review |
title_full_unstemmed | Septic pulmonary embolism associated with periodontal disease: a case report and literature review |
title_short | Septic pulmonary embolism associated with periodontal disease: a case report and literature review |
title_sort | septic pulmonary embolism associated with periodontal disease: a case report and literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341628/ https://www.ncbi.nlm.nih.gov/pubmed/30665352 http://dx.doi.org/10.1186/s12879-019-3710-3 |
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