Abstract
A 58-year-old woman presented to the emergency department with left ptosis and complete ophthalmoplegia. Imaging demonstrated a left orbital abscess. Her past medical history included cavitatory lung disease and "aseptic" meningitis 2 months previously. An anaerobic organism and commensal of the oral flora, Peptostreptococcus sp., was cultured from the orbital abscess. The patient was found to have a carious upper molar with chronic buccal abscess, which was extracted. This case presents an uncommon pathogen arising from an odontogenic infection as the etiology for orbital abscess, cavitatory lung disease, and meningitis in one patient.
Keywords:
Odontogenic; orbital abscess; orbital drainage.
MeSH terms
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Abscess / diagnosis
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Abscess / drug therapy
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Abscess / microbiology*
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Anti-Bacterial Agents / therapeutic use
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Drug Therapy, Combination
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Female
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Gram-Positive Bacterial Infections / diagnosis
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Gram-Positive Bacterial Infections / drug therapy
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Gram-Positive Bacterial Infections / microbiology*
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Humans
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Lung Diseases / diagnosis
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Lung Diseases / drug therapy
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Lung Diseases / microbiology*
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Magnetic Resonance Imaging
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Meningitis, Aseptic / diagnosis*
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Meningitis, Aseptic / drug therapy
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Middle Aged
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Orbital Diseases / diagnosis
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Orbital Diseases / drug therapy
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Orbital Diseases / microbiology*
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Peptostreptococcus / isolation & purification*
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Periodontal Abscess / diagnosis
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Periodontal Abscess / drug therapy
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Periodontal Abscess / microbiology*
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Tomography, X-Ray Computed