A brain abscess following dental extractions in a patient with hereditary hemorrhagic telangiectasia.
Oral and maxillofacial surgeons must be aware of the potentially life-threatening complications of dental extractions in patients with hereditary haemorrhagic telangiectasia because of their high prevalence of pulmonary arteriovenous fistulas. Despite the lack of evidence-based guidelines, antibiotic cover should be given to patients with HHT who require oral surgery according to the same rules as those used for patients at high risk of bacterial endocarditis.
Corre
P
P
Clinique de Chirurgie Maxillo-Faciale et de Stomatologie, Centre Hospitalier Universitaire de Nantes, France. pierrecorre@hotmail.com
Perret
C
C
Isidor
B
B
Khonsari
R H
RH
D001164:Arteriovenous Fistula / Q000150:complications; D001922:Brain Abscess / Q000209:etiology* / Q000382:microbiology; D005260:Female; D005674:Fusobacterium Infections / Q000175:diagnosis; D016967:Fusobacterium nucleatum / Q000302:isolation & purification; D006801:Humans; D008168:Lung / Q000098:blood supply; D008875:Middle Aged; D013203:Staphylococcal Infections / Q000175:diagnosis; D013212:Staphylococcus epidermidis / Q000302:isolation & purification; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000150:complications*; D013702:Temporal Lobe / Q000382:microbiology; D014081:Tooth Extraction / Q000009:adverse effects*