From dentists chair to the lung transplant list. Fulminant course following simple wisdom tooth extraction

被引:0
作者
Kim, D. M. [1 ]
Camerer, C. [1 ]
Lojewski, C. [2 ]
Buckendahl, A. C. [3 ]
Hoffmeister, B. [1 ]
Raguse, J. D. [1 ]
机构
[1] Charite Univ Med Berlin, Campus Virchow Klinikum, Klin MKG Chirurg Klin Nav & Robot, Zentrum Rekonstrukt Plast Asthet Gesichtschirurg, Augustenburger Pl 1, D-13353 Berlin, Germany
[2] Charite Univ Med Berlin, Campus Virchow Klinikum, Klin Anasthesiol Schwerpunkt Operat Intens Med, Charite Mitte, Berlin, Germany
[3] Charite Univ Med Berlin, Campus Charite Mitte, Inst Pathol, Berlin, Germany
来源
MKG-CHIRURG | 2011年 / 4卷 / 03期
关键词
Retropharyngeal abscess; Mediastinal emphysema; Acute respiratory distress syndrome; Extracorporeal membrane oxygenation; Ventilator-associated pneunomia;
D O I
10.1007/s12285-010-0181-3
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
An 18-year-old male patient presented with fever and cephalgia 1 week after wisdom tooth extraction on an outpatient basis. While clinical examination was without pathologic findings the computed tomography (CT) scan indicating a right-sided retropharyngeal abscess. Surgical exploration was performed but failed to detect any foci and a deep biopsy was taken. Postoperatively, the patient showed unclear severe acute respiratory distress syndrome (ARDS) accompanied by persistent lung failure which ultimately lead to lung transplant listing (high urgency). The patient spent several months in the intensive care unit (ICU) under maximum surveillance including several weeks on extracorporeal membrane oxygenation (ECMO) and gradually recovered.
引用
收藏
页码:223 / 228
页数:6
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