‘Bubble sign’: gas-forming bacteria from an odontogenic infection

Richards, Charlotte ORCID: https://orcid.org/0000-0002-4624-1155, Walker, Tom W. M., Girgis, Sarah and Colbert, Serryth 2020. ‘Bubble sign’: gas-forming bacteria from an odontogenic infection. BMJ Case Reports 2020 (13) , e233946.. 10.1136/bcr-2019-233946

Full text not available from this repository.

Abstract

A 64-year-old Caucasian woman presented to the emergency department with a 6-day history of dental pain and significant right-sided facial swelling. She had seen her general practitioner twice in the previous days and was prescribed oral metronidazole. There was a history of asthma, epilepsy and high blood pressure. She reported allergy to penicillin. On examination, she was tachycardic at 132 beats/min and tachypneic at 22 breaths/min. She was febrile at 39.7°C, her blood pressure was 147/65 mmHg) and oxygen saturation’s 95%. Her blood results showed a raised C-reactive protein (660), raised white cell count (29.1×109/L) and raised neutrophils (24.4×109/L). Clinically, there was high suspicion of sepsis, and the sepsis six pathway was initiated. A panoramic radiograph showed periapical radiolucencies associated with her carious lower right first premolar (LR5) and second molar (LR7) (figure 1). A diagnosis of a rapidly progressing odontogenic abscess was made.

Item Type:	Article
Date Type:	Published Online
Status:	Published
Schools:	Dentistry
Publisher:	BMJ Publishing Group
ISSN:	1757-790X
Date of Acceptance:	8 May 2020
Last Modified:	10 Nov 2022 10:28
URI:	https://orca.cardiff.ac.uk/id/eprint/146920

Citation Data

Cited 2 times in Scopus. View in Scopus. Powered By Scopus® Data

Actions (repository staff only)

Edit Item