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.

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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
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article

Septic Pulmonary Embolism Caused by Odontogenic Infection: A Case Report

Chiho Hiraga, Yosuke Nozawa, Kana Ito, Kei Matsumoto et al.
Oral Science International
Otolaryngology and Infectious Diseases
article

Septic Pulmonary Embolism Caused by Odontogenic Infection: A Case Report

Chiho Hiraga, Yosuke Nozawa, Kana Ito, Kei Matsumoto, Takeshi Nomura, Miho Ezawa
article en

Abstract

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.

Oral Science InternationalVol. 23(2)
Tokyo Dental College (JP), Tokyo Dental College Ichikawa General Hospital (JP)
Good health and well-being
Openalex Percentile: Top 5%
Otolaryngology and Infectious Diseases
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