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Pregnancy Complicated by Recurrent Brain Abscess After Extraction of an Infected Tooth

Hobson, Deslyn T. G. MD; Imudia, Anthony N. MD; Soto, Eleazar MD; Awonuga, Awoniyi O. MB, BS

doi: 10.1097/AOG.0b013e31822468d6
Case Reports
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BACKGROUND: Odontogenic infections are quite common and, in unusual cases, can extend beyond the oral cavity with potentially life-threatening complications.

CASE: A 35-year-old woman, G3P0020, underwent extraction of an infected left maxillary third molar tooth at 19 3/7 weeks of gestation and later presented with mental status changes. Computed tomography revealed left pterygoid muscle abscess, which progressed to brain abscess. She underwent multiple partial lobectomies to drain her recurrent brain abscess. The pregnancy continued until term, and she underwent a cesarean delivery.

CONCLUSION: Brain abscess is a rare but life-threatening complication of pregnancy. This case illustrates the potential complications after extraction of an infected tooth in pregnancy.

Odontogenic infections can extend beyond the oral cavity and cause recurrent brain abscess.

From the Department of Obstetrics and Gynecology, the Division of Maternal Fetal Medicine, and the Division of Reproductive Endocrinology and Infertility, Wayne State University School of Medicine/Detroit Medical Center, Detroit, Michigan; and the Division of Reproductive Medicine and IVF, Massachusetts General Hospital, Boston, Massachusetts.

Corresponding author: Deslyn T. G. Hobson, MD, Department of Obstetrics and Gynecology, 3990 John R Street, 7 Brush North, Detroit, MI 48201; e-mail: dhobson@med.wayne.edu.

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2011 The American College of Obstetricians and Gynecologists