Case Reports Journal Article Epublish
PubMed: 42757125 DOI: 10.1016/j.idcr.2026.e02759
The critical role of 16S rRNA sequencing in diagnosis and management of an odontogenic deep neck abscess: A case report.
IDCases 46:e02759
Authors: Annachiara Ghiotti, Jacopo Monticelli, Marina Busetti, Michele Maglione, Stefano Di Bella, Fabio Barbone, Raffaella Koncan
Affiliations
- Hygiene and Preventive Medicine Unit, Trieste University Hospital (ASUGI), Trieste, Italy.
- Infectious Diseases Unit, Trieste University Hospital (ASUGI), Trieste, Italy.
- Microbiology Unit, Trieste University Hospital (ASUGI), Trieste, Italy.
- Maxillofacial Surgery and Stomatology Unit, Department of Medical, Surgical and Health Sciences, University of Trieste, Trieste, Italy.
- Department of Medical, Surgical and Health Sciences, University of Trieste, Trieste, Italy.
Abstract
Odontogenic abscesses are characteristically polymicrobial infections where fastidious anaerobes play a critical role. Conventional culture methods often fail to identify these pathogens, leading to diagnostic and therapeutic challenges. We present a case of a severe deep neck and metastatic lung abscess following third molar extraction. While the initial culture of the abscess drainage was deceiving, 16S rRNA sequencing revealed the infection's real anaerobic nature. Therapy was successfully targeted, leading to full clinical resolution. This case highlights the limitations of culture methods and the importance of molecular diagnosis in guiding optimal management of complicated odontogenic infections.
MeSH
Abscess, Genes, Rrna, Diagnosis, Rna, Ribosomal, 16S, Therapeutics, Infections