Neglected Tooth Infection: How a Young Man Almost Died from Sepsis in Shenzhen

2023-11-01 12:23:22

A young man in Shenzhen, Guangdong, failed to treat a bad tooth in time and nearly died from sepsis. (Picture/extracted from Weibo)

A 24-year-old young man from Shenzhen City, Guangdong Province, recently went to the hospital for treatment due to a high fever after being exposed to the rain. Later, his condition worsened and he developed coma, epilepsy and other symptoms. The doctor found that it was because of 3 pills in his mouth that were not treated in time. His rotten teeth led to severe bacterial infection, subdural fluid accumulation on the right side and brain herniation. In the end, doctors removed part of his skull to clear the abscess, and he was saved from death.

According to the “Guangdong Station Electric Shock News” report, the young man Xiao Zhang (pseudonym) had three bad teeth in his mouth two years ago, but he didn’t take it seriously and kept delaying the treatment. In addition, he usually liked to stay up late. Gradually, he I found that when I catch a cold, some parts of my body become inflamed. This cold started out as sinusitis, but after being exposed to the rain a few days ago, I had a high fever that wouldn’t go away for three days. I fell into a coma when I got to the emergency room, and was eventually admitted to the intensive care unit.

Gu Mei, deputy chief physician of the Department of Neurology at Shenzhen People’s Hospital, said that at that time, Xiao Zhang’s inflammation index exploded, and his procalcitonin (PCT) level soared more than 3,800 times the normal value. He was unresponsive and had mental retardation. “I asked him at that time He can’t even answer 100 minus 7.” After preliminary diagnosis by the examining doctor, Xiao Zhang suffered from odontogenic sepsis, intracranial abscess, and subdural fluid extrusion causing brain tissue displacement. The situation was very critical.

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Guo Yi, director of the Neurology Department of Shenzhen People’s Hospital, explained that Xiao Zhang’s intracranial abscess was caused by a mixed infection of multiple bacteria, most of which came from his three rotten teeth. Xiao Zhang had been staying up late some time ago, which led to a decrease in resistance. Odontogenic bacterial infection will get out of hand. In order to save Xiao Zhang’s life, the doctor performed a craniotomy and decompression surgery on him, removing part of his skull to remove the abscess. He was awake the next day after the operation, and his mobility and intelligence are now recovering well.

Guo Yi also reminded that many people have bad teeth, and early treatment is very important. In order to prevent the occurrence of fatal intracranial abscess, it is recommended that patients with otitis media, sinusitis, and periodontitis should be treated as soon as possible, and appropriate physical exercise should be performed to enhance resistance.

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