Abstract

MARTINI, Marcelo Zillo; UYEDA, Daniel Kazutoyo da Paixão; MOLLA NETO, Oswaldo Lourenço de  and  SANTOS, Nelson de Amorim. Odontogenic septic shock in patient with type 1 diabetes mellitus. Rev. Assoc. Paul. Cir. Dent. [online]. 2015, vol.69, n.2, pp. 190-193. ISSN 0004-5276.

The aim of this study is to present a case of a patient with poorly controlled type I diabetes mellitus and severe odontogenic infection that progressed to septic shock and succumbed despite therapy. Clinical and laboratory findings, diagnosis and treatment are presented and discussed. Sepsis is a potentially life-threatening condition that occurs when chemicals mediators of inflammation are released into the bloodstream to combat the infection and trigger inflammatory multi-system responses. Sepsis can progress to severe sepsis and finally septic shock, a condition with high mortality rates and may be associated with dental infections. Odontogenic infections can spread to deep neck spaces leading to severe complications, especially in patients with chronic systemic immunocompromised diseases. Dentists and physicians must be aware of the signals and symptoms associated with the disease and should consider the diagnosis of sepsis in patients with odontogenic infection once early recognition and effective management could prevent death.

Keywords : focal infection; dental; infection control, dental; shock, septic; advanced treatment; sepsis.