Stroke associated with severe odontogenic infection in a geriatric patient - case report




Infection; Geriatrics; Surgery; Stroke.


Objective: The aim of the present study is to report a case of severe odontogenic infection in a geriatric patient, addressing the clinical aspects and the surgical approach. Case Report: Male patient, 85 years old, with swelling in the right submandibular, right oral, submentual and severe pain related to tooth 46, which was clinically compromised by caries in the buccal region. Antibiotic therapy with clindamycin and surgical procedure were performed under general anesthesia of tooth extraction 46 and drainage of the submandibular, submentual and buccal facial spaces. In the immediate postoperative period, the patient developed a stroke and was referred to the intensive care unit (ICU), where he remained for 7 days. After that, he recovered well and was discharged on the tenth day after surgery. The patient is in a six-month postoperative follow-up, with no signs of complications or sequelae caused by the treatment performed. Conclusion: The treatment of odontogenic infections in elderly patients should be performed with great caution, especially in those with systemic involvement that can trigger trans or postoperative complications. In addition, adequate knowledge of the dentist's anatomy, pharmacology and surgical approach is essential.


Chang J. S., et al (2013). Odontogenic infection involving the secondary fascial space in diabetic andnon-diabetic patients: a clinical comparative study. J Korean Assoc Oral Maxillofac Surg, 39(4), 175-181.

Freddo A. L., et al (2013). Odontogenic infections: severe complications associated with diabetes mellitus. J Dental Science, 28(4): 110-115.

Gomes F. V., et al (2015). Severe odontogenic infection: past or reality? a case series report. Revista odontológica do Brasil Central, 24(69): 76-80.

Guzik A., Bushnell C (2017). Stroke Epidemiology and Risk Factor Management. Continuum (Minneap Minn), Feb;23(1, Cerebrovascular Disease):15-39. 10.1212/CON.0000000000000416.

Guzmán-letelier M, et al (2017). Severe odontogenic infection: An emergency. Case report. J Clin Exp Dent, 9 (2): e319-e324. 10.4317.

Kamat R. D., et al (2015). J Korean Assoc Oral Maxillofac Surg, 41 (4): 176-80. 10.5125.

Kara A., et al (2014). Length of hospital stay and management of facial cellulitis of odontogenic origin in children. Pediatr Dent, 36(1): 18-22.

Kuriyama T., et al (2000). Bacteriologic features and antimicrobial susceptibility in isolates from orofacial odontogenic infections. Oral Surg Oral Méd Oral Pathol Oral Radiol Endod, 90(5): 600-8.

Lima F. G. G. P., et al (2018). Clinical-surgical approach to complex infection in Maxillofacial region: a case report. Revista odontológica do Brasil Central, 27(81): 112-116.

Olli Patrakka et al (2019), Oral Bacterial Signatures in Cerebral Thrombi of Patients With Acute Ischemic Stroke Treated With Thrombectomy, Journal of the American Heart Association. DOI: 10.1161/JAHA.119.012330

Pereira A. S., et al. (2018). Metodologia da pesquisa científica. Ed.UAB/NTE/UFSM. 4/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1

Peterson L. J., et al (2000). Cirurgia Oral e Maxilofacial Contemporânea. (3a ed.), Guanabara Koogan, 412-425.

Pinheiro, et al (2012). Stroke’s Mortality Rate in Distrito Federal from 1995 to 2005. Revista Neurociências, 20(4), 488-493.

Rodriguez-mañas L., et al (2019). European MID-Frail Consortium. Effectiveness of a multimodal intervention in functionally impaired older people with type 2 diabetes mellitus. J Cachexia Sarcopenia Muscle, 10(4):721-733. doi: 10.1002/jcsm.12432.

Sugiura T., et al (2018). Odontogenic deep neck space infection in a patient with hyper-ige syndrome: A Case Report. J Clin Exp Dent, 10 (10): E1049-E1053. DOI: 10.4317.

Yilmaz S., et al (2015). Deep neck infection after third molar extraction. J Istanb Univ Fac Dent, 49 (2), 41-4510.



How to Cite

MELO , R. B. .; LIMA, E. B. de .; SÁ, C. D. L. .; FEITOSA, V. P. .; RAMOS, T. M. M. .; TCHEMRA, F. G. C. . Stroke associated with severe odontogenic infection in a geriatric patient - case report. Research, Society and Development, [S. l.], v. 10, n. 1, p. e47110111950, 2021. DOI: 10.33448/rsd-v10i1.11950. Disponível em: Acesso em: 7 mar. 2021.



Health Sciences