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
|
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: | 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 |
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