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Images in Intensive Medicine
Fever and seizures after a dental procedure
Fiebre y crisis comiciales tras un procedimiento dental
G. Caldenteya,
Autor para correspondencia
guillemcaldentey@yahoo.es

Corresponding author.
, M. Irazabalb, G. Jiménez-Briteza
a Cardiology Department, Hospital General de Catalunya, Spain
b Intensive Care Unit, Hospital General de Catalunya, Spain
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        "titulo" => "Fiebre y crisis comiciales tras un procedimiento dental"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 28-year-old woman&#44; who had been subjected to a dental procedure two weeks before&#44; consulted for seizures and fever&#46; At oral cavity examination&#44; palatine telangiectasias were evidenced&#44; with no signs of dental infection&#46; The chest X-ray showed a well-defined pulmonary opacity in the inferior right lobe &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41; and a cerebral contrast CT scan evidenced a ring-enhancement lesion in the right parietal lobe suggesting a cerebral abscess &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#46; A thoracic CT scan was performed showing a 7<span class="elsevierStyleHsp" style=""></span>mm pulmonary arterio-venous malformation &#40;AVM&#41; in the right inferior lobe &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C&#41;&#46; A contrast transesophageal echocardiogram confirmed a grade 3 right-to-left shunt &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>D&#44; RA&#58; right atrium&#59; LA&#58; left atrium&#59; SVC&#58; superior vena cava&#59; IAS&#58; interatrial septum&#41;&#46; The cerebral abscess was drained and antibiotic treatment was completed &#40;positive hemocultures for streptococcus sp&#41;&#46; Endovascular embolotherapy of the pulmonary AVM was performed&#46; The final diagnosis was Rendu-Osler-Weber disease&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interest</span><p id="par0010" class="elsevierStylePara elsevierViewall">We confirm that there are no known conflicts of interest associated with this publication and there has been no significant financial support for this work that could have influenced its outcome&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">All authors had access to the data and a role in writing the manuscript&#46;</p></span></span>"
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ISSN: 02105691
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