Abstract

ROSSELL-PINEDA, María del Rosario et al. Vasculitis gingival como complicación de sepsis de punto de partida enteral. Arch Venez Puer Ped [online]. 2011, vol.74, n.4, pp.154-158. ISSN 0004-0649.

Vasculitis is the inflammation of blood vessels, with ischemia, necrosis and systemic involvement. This paper describes the multidisciplinary management of a 4 month old female infant that was admitted to the Hospital Universitario de Maracaibo with fever, diarrhea, dehydration, periods of somnolence, distended abdomen, and absence of bowel sounds. Later, the patient presented seizures, deterioration of her general condition, multiple erythematous and brownish white, necrotic lesions of the gingival border mucosa, and septic shock manifestations. The patient had a history of ingestion of N-butylbromid hyoscine. Laboratory tests: anemia, leukocytosis, elevated C-reactive protein, negative cultures, biopsy of the gingival border: blood vessel walls infiltrated by scattered and necrotic polymorphonuclear and mononuclear inflammatory cells, destruction and occlusion of the endothelium confirming gingival vasculitis. Treatment included antibiotics, surgery of necrotic areas and hemodynamic support. She was discharged after 15 days with the diagnosis of gingival vasculitis secondary to enteral sepsis. Medical and dentistry interdisciplinary management facilitates the resolution of general situations with oral involvement.

Keywords : vasculitis; sepsis; enteral infection; oral manifestations.