List of Articles by MeSH

ABSCESS

NOTES:

*Articles are cited according to Uniform Requirements by International Committee of Medical Journal Editors - ICMJE and NLM Style Guide for Authors, Editors and Publishers

Škrobot R, Macan D. Epidural Spinal Abscess After Extraction of a Tooth - a Rare but Possibly Fatal Complication. Acta Stomatol Croat. 2004;38(4):276-7.

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Title in English:	Epidural Spinal Abscess After Extraction of a Tooth - a Rare but Possibly Fatal Complication
Title in Croatian:	Epiduralni spinalni apsces nakon vađenja zuba - rijetka, ali moguće fatalna komplikacija
Type of Article:	congress abstract
MeSH:	ABSCESS TOOTH EXTRACTION + adverse effects
Abstract:	The complications of an odontogenic abscess are well known, and difficulty swallowing in the case of a submandibular or pterygomandibular abscess is a serious and a valuable sign. However, the majority of physicians are unaware that a stiff and painful neck can indicate complications of odontogenic infection. In fact it is one of the first, and at the same time the main symptom in epidural spinal abscess. Only a few cases have been presented in the literature of patients treated with such an abscess.The specificity of an epidural spinal abscess is that it occurs in a very small number of patients (0.2 to 1.2 in 10000 patients), abruptly or a few days or a week after infection, anywhere in the body and most often in immunocompromised patients.The main symptoms are:1. Pain in the spine within 24 hours, which increases within three days of the operation.2. Stiffness gradually increases.3. Reduced control of the bladder and intestines.4. Rapid progression toward paralysis.As stiffness of the neck is the earliest sign of epidural spinal abscess it should not be treated lightly, because of the possibility of a lethal cause of such an abscess, particularly when a patient arrives with signs of acute torticolis, after a recent operation in connection with the teeth and oral cavity.We contemplated such pathology in two patients admitted to the Clinic of Maxillofacial and Oral Surgery, University Hospital Dubrava, and retained for treatment and observation.

Ivasović Z, Krmpotić M, Milenović A, Katanec D. All that Can be Hidden Behind the Clinical Appearance of Odontogenic Abscesses. Oversight or Error? - Presentation of Two Cases. Acta Stomatol Croat. 2004;38(4):270.

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Title in English:	All that Can be Hidden Behind the Clinical Appearance of Odontogenic Abscesses. Oversight or Error? - Presentation of Two Cases
Title in Croatian:	Što se sve može sakriti iza kliničke slike odontogenih apscesa. Previd ili pogrješka? - prikaz dvaju slučaja
Type of Article:	congress abstract
MeSH:	ABSCESS
Abstract:	The aim of this study was to show the importance of a detailed clinical examination, diagnostic analysis and good knowledge of the pathology of the oral cavity, in order to avoid erroneous treatment and loss of precious time.The first patient, R. J., a 36-year-old man, was admitted to the ENT Department of the General Hospital, Karlovac, because of a perimandibular swelling and trismuss of the right side of the face. Because an odontogenic abscess was suspected extraoral incision was performed on two occasions. After the arrival of an oral surgeon to the hospital and examination of the oral cavity the patient was transferred to the Clinical Department of Oral and Maxillofacial Surgery, University Hospital Dubrava. During an intraoral examination an ulcer was detected beneath the tongue on the right side and a massive infiltrate of almost the whole of the anterior two thirds of the tongue. Immovable metastasis was detected by palpation in regions two and three, 50 millimetres in size. After consultation at an oncological Meeting irradiation only was indicated. A check-up six months later showed partial regression of the disease.The second patient, K. J., a 33 year-old man, came to the Out-patient Department of Oral Surgery with suspected palatinal abscess of the upper left molar. The upper left six was trepanated and the suspect abscess incidirated twice. For a period of six months no regression occurred and consequently the patient was sent to the Clinical Department of Oral and Maxillofacial Surgery, University Hospital Dubrava, where cytopuncture, biopsy, CT of the maxilla were performed which confirmed mucoepidermoid carcinoma of the hard palate. After preoperative preparation partial resection of the upper jaw was performed. Therapy is presently in course.These two cases indicate the need to know the causative agents of swellings in the area of the head and neck, and if odontogenic inflammation is the case it quickly responds to appropriate therapy.

Katanec D, Amšel V. [Role of aerobic and anaerobic bacteria in odontogenic infections]. Acta Stomatol Croat. 1988;22(2):149-54.

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