Septic Pulmonary Embolism Caused by Odontogenic Infection: A Case Report
ABSTRACT Background Septic pulmonary embolism (SPE) is a rare complication of infection. Odontogenic sources are uncommon and easily overlooked, especially when typical symptoms are absent. Case Presentation A 43‐year‐old man with poorly controlled diabetes presented with mandibular swelling and trismus without fever or respiratory symptoms. CT revealed a masticator space abscess and multiple peripheral cavitary pulmonary nodules consistent with SPE. Blood cultures were negative, but abscess culture identified Streptococcus constellatus and Parvimonas micra . Surgical drainage and intravenous antibiotics achieved full recovery. Conclusion SPE can arise from odontogenic infection even without classic symptoms, requiring early imaging and multidisciplinary care.
Authors
- Chiho Hiraga (ORCID: https://orcid.org/0000-0002-9236-3452)
- Yosuke Nozawa (ORCID: https://orcid.org/0000-0002-6844-2871)
- Kana Ito (ORCID: https://orcid.org/0000-0001-6712-222X)
- Kei Matsumoto (ORCID: https://orcid.org/0000-0002-3708-5904)
- Takeshi Nomura
- Miho Ezawa
Institutions
- Tokyo Dental College (JP)
- Tokyo Dental College Ichikawa General Hospital (JP)
Publication Details
- Journal
- Oral Science International
- Published
- 2026-04-24
- DOI
- https://doi.org/10.1002/osi2.70048
- Primary Topic
- Otolaryngology and Infectious Diseases
- Type
- article
- Field-Weighted Citation Impact
- 0.00