Odontogenic abscess mimicking acute dacryocystitis
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BMJ Publishing Group
Abstract
A middle-aged poorly controlled diabetic man developed left-sided orbital and facial swelling several days after extraction of a left upper wisdom tooth. The clinical impression was that of acute dacryocystitis. Opening the skin above the lacrimal sac failed to reveal an inflamed sac establishing the diagnosis of deep facial cellulitis. Complete resolution occurred few weeks after systemic antibiotics and repeated dental drainage of the tooth abscess.
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Keywords
Abscess, Administration, intravenous, Anti-bacterial agents, Cellulitis, Dacryocystitis, Diagnosis, differential, Drainage, Face, Humans, Male, Middle aged, Molar, third, Nasolacrimal duct, Orbital diseases, Treatment outcome, Amoxicillin plus clavulanic acid, Clindamycin, Piperacillin plus tazobactam, Vancomycin, Antiinfective agent, Abscess drainage, Adult, Antibiotic sensitivity, Article, Bacterium culture, Case report, Caucasian, Depp facial cellulitis, Diabetic retinopathy, Differential diagnosis, Echography, Enterococcus, Erythema, Face edema, Fever, Hospital admission, Human, Lacrimal sac, Medical history, Physical examination, Postoperative period, Suppuration, Tooth abscess, Tooth extraction, Treatment duration, Treatment response, Visual acuity, Complication, Diagnostic imaging, Intravenous drug administration, Lacrimal duct, Microbiology, Orbit disease, Pathology, Third molar