Purulent Pleurisy Complicating Cervico-facial Cellulitis of Dental Origin: Diagnosis and Treatment: About an Observation Managed in an Under-medicalized Setting

Purulent pleurisy complicating cervico-facial cellulitis of dental origin is a rare but well-described pathological situation. The perfect anatomical continuity between the cervical, mediastinal and pleural regions explains the possibility of diffusion of dental germs to the pleura. In African hospitals, recourse to traditional medicine in the first instance and delays in treatment in rural areas are predictive factors for the occurrence of this rare complication of cervico-facial cellulitis of dental origin. Purulent pleurisy of dental origin is a life-threatening medical and surgical emergency. Its multidisciplinary management must be rapid and appropriate. We report an observation from the Sourô SANOU University Hospital in Bobo-Dioulasso, in order to highlight the difficulties of managing this condition in an under-medicalized context.