title: [Tooth-pick? Picking the Right Tooth].
abstract: We report about an 80-year-old patient, who underwent the extraction of an upper molar tooth because of facial pain. In the course of time the patient developed a maxillary sinusitis in presence of an ectopic tooth. Given that the patient got fever, neck pain and -stiffness, a purulent meningitis was first suspected. The liquor analysis was normal and the CT-scan showed a calcification around the dens axis. We finally diagnosed a “Crowned Dens”-syndrome.
authors.affiliation: 1 Servizio di Medicina Interna, Ospedale della Beata Vergine, Mendrisio.
authors.forename: Lysann
authors.initials: L
authors.lastname: Apicella
authors.affiliation: 2 Servizio di Medicina Radiologia, Ospedale della Beata Vergine, Mendrisio.
authors.forename: Paola Rodoni
authors.initials: PR
authors.lastname: Cassis
authors.affiliation: 1 Servizio di Medicina Interna, Ospedale della Beata Vergine, Mendrisio.
authors.forename: Brenno
authors.initials: B
authors.lastname: Balestra
mesh_terms: D000369:Aged, 80 and over; D002805:Chondrocalcinosis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005157:Facial Pain / Q000601:surgery*; D006801:Humans; D008297:Male; D015523:Maxillary Sinusitis / Q000175:diagnosis* / Q000209:etiology*; D009809:Odontoid Process; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014079:Tooth Eruption, Ectopic / Q000150:complications* / Q000175:diagnosis*; D014081:Tooth Extraction
keywords: Kalziumpyrophosphat-Erkrankung; Nackenschmerzen/-steifigkeit; Pseudo-Meningitis; calcium pyrophosphate dihydrate deposition disease; crowned dens-syndrome; neck pain/-stiffness; pseudomeningitis