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Published in French in Tropical Dental Journal Volume 24 - June 2001 pages 19-22
Article Open access
Authors : M. Ngapeth-Etoundi, G. Afane Ela, E.S.R. Itoua, A. Obounou - Cameroon
Les auteurs rapportent 3 cas de septicémies avec coma post extractionnel. Les 3 patientes ont eu a subir des extractions dentaires dans un même cabinet dentaire confessionnel et reçu à l'hôpital central de Yaoundé (H.C.Y.) après aggravation de leur état général. Les septicémies et coma infectieux d'origine dentaire authentifié par des hémocultures imposent une antibiothérapie précoce, convenable, prolongée mais surtout adaptée à l'antibiogramme. Les streptocoques du groupe F et le Klebsiella pneumonie ont été mis en cause. Dans un cas l'hémoculture était négative. La présence des signes généraux (fièvre, tachycardie, frisson) implique la recherche d'une localisation secondaire qui peut être confirmée par la radiographie.
The authors report 3 cases of septicaemia and coma post dental extraction. These 3 patients had dental extraction in the same confessional dental clinic. After these acts the situation were so severe and they came to central hospital in Yaounde.
Infections from dental origin proven by blood culture necessitate an early antibiotherapy and treatment, which propriate and sustain, but adapted to the antibiogram. The streptococcus of group F and Klebsiella pneumonia were challenged. One of the cases was negative.
The presence of common signs (fever, tachycardia, chill) need the search for a secondary localisation which can be determine by X-ray.
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