title: Prevotella brain abscesses and stroke following dental extraction in a young patient: a case report and review of the literature.
abstract: A brain abscess is a life-threatening infection. There are few reports describing Prevotella bacteremia with middle cerebral artery (MCA) occlusion and brain abscess following dental extraction in the literature. We herein describe a 32-year-old healthy man who experienced headache after tooth extraction. He was not correctly diagnosed until he experienced a stroke and a blood culture revealed Prevotella denticola weeks later. This case and our detailed review of related cases highlight the importance of thorough medical history-taking and clinical evaluations. Brain abscess formation should be considered in previously healthy patients with fever, stroke, and a recent history of tooth extraction.
authors.affiliation: Department of Family Medicine, Kaohsiung Veterans General Hospital, Taiwan.
authors.forename: Pin-Chieh
authors.initials: PC
authors.lastname: Wu
authors.forename: Ming-Shium
authors.initials: MS
authors.lastname: Tu
authors.forename: Po-Hsiang
authors.initials: PH
authors.lastname: Lin
authors.forename: Yao-Shen
authors.initials: YS
authors.lastname: Chen
authors.forename: Hung-Chin
authors.initials: HC
authors.lastname: Tsai
mesh_terms: D016866:Bacteroidaceae Infections / Q000150:complications / Q000175:diagnosis*; D001922:Brain Abscess / Q000175:diagnosis* / Q000382:microbiology*; D006801:Humans; D008297:Male; D018720:Prevotella / Q000302:isolation & purification*; D012307:Risk Factors; D020521:Stroke / Q000175:diagnosis* / Q000382:microbiology*; D014081:Tooth Extraction / Q000009:adverse effects*