title: Dentigerous cyst of mandible presenting as sepsis.
abstract: Dentigerous cysts are odontogenic cysts that develop by accumulation of fluid between reduced enamel epithelium and a crown of an unerupted tooth. Dentigerous cysts typically are slow growing and incidental findings on radiographic images [1]. These cysts are usually small but when they become large, they will cause a pathologic fracture. Occasionally, they can become painful when infected, which will cause swelling and erythema [1]. We present a rare case of a dentigerous cyst that presented as sepsis. Dentigerous cysts are the most common type of noninflammatory odontogenic cyst [2]. The atypical acute presentation and extent of this patient's soft tissue manifestations resulting in tracheal midline shift and sepsis make this a rare case for presentation.
authors.affiliation: Department of Emergency Medicine, Virginia Commonwealth University Health System, Richmond, VA.
authors.forename: Dustin W
authors.initials: DW
authors.lastname: Anderson
authors.affiliation: Department of Emergency Medicine, Virginia Commonwealth University Health System, Richmond, VA. Electronic address: evansdp@me.com.
authors.forename: David
authors.initials: D
authors.lastname: Evans
mesh_terms: D000328:Adult; D003803:Dentigerous Cyst / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D004636:Emergency Service, Hospital; D006801:Humans; D008297:Male; D008336:Mandibular Diseases / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D018805:Sepsis / Q000209:etiology*; D014057:Tomography, X-Ray Computed