Cold abscess of dental origin in a 7-year-old child

Abscess related to an infected tooth is mostly associated with pyogenic infection, but sometimes, it can be asymptomatic and indicate a chronic condition. This case report shows cold abscess with a draining sinus due to dental origin. A 7-year-old female patient complained of pain with respect to gr...

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Bibliographic Details
Published in:Journal of the Indian Society of Pedodontics and Preventive Dentistry 2021-04, Vol.39 (2), p.225-228
Main Authors: Ganesh, Mayuri, Priya, V, Banu, M, Shilpa, G, Challa, Santosh, R Krishna Murthy, V
Format: Article
Language:English
Subjects:
Abscesses
Chronic infection
Cross-infection
Differential diagnosis
Infections
Patients
Teeth
Tuberculosis
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Summary:Abscess related to an infected tooth is mostly associated with pyogenic infection, but sometimes, it can be asymptomatic and indicate a chronic condition. This case report shows cold abscess with a draining sinus due to dental origin. A 7-year-old female patient complained of pain with respect to grossly decayed tooth and recurrent swelling with no response to medications. After investigations and management of the lesion, it was concluded as abscess due to chronic granulomatous infection. Cold abscess is a classical manifestation of tuberculosis with no signs of inflammation. More than 60% of cases of this pathology occur in patients below 15 years old. It needs various clinical, histopathological, and laboratory investigations. Although rare, it should be considered as a differential diagnosis when no improvement occurs postroutine therapy to prevent serious complications. Furthermore, various precautions should be taken by the clinicians to prevent cross-infection.
ISSN:0970-4388
1998-3905
DOI:10.4103/JISPPD.JISPPD_359_20