Multiple deep-seated dentofacial abscesses caused by multidrug-resistant viridans group streptococci

Shinnosuke Fukushima, Hideharu Hagiya, Yuki Mizuta, Yasuhiro Nakano, Masahiro Takahara, Kayo Okamoto, Yuko Hayashi, Kiyoshi Yamada, Kou Hasegawa, Fumio Otsuka

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1 Citation (Scopus)


Odontogenic infections, generally caused by dental caries and periodontal disease, can result in fatal illness. We herein report a 71-year-old Japanese woman with type 2 diabetes and hemodialysis who suffered from multiple dentofacial abscesses mainly caused by multidrug-resistant Streptococcus oralis. She complained of pain and swelling of her face, with an extraoral fistula from the left cheek. Following 3 surgical debridement procedures and partial mandibulectomy, in addition to 12 weeks of antimicrobial therapy, the multiple dentofacial abscesses were ameliorated. A combination of surgical and antimicrobial treatments following an early diagnosis is essential for reducing further complications.

Original languageEnglish
Pages (from-to)2067-2070
Number of pages4
JournalInternal Medicine
Issue number16
Publication statusPublished - 2020


  • Dentofacial abscesses
  • Multidrug resistance
  • Odontogenic infection
  • Osteomyelitis
  • Streptococcus
  • Viridans

ASJC Scopus subject areas

  • Internal Medicine


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