A brain abscess following dental extractions in a patient with hereditary hemorrhagic telangiectasia

Abstract 

Oral and maxillofacial surgeons must be aware of the potentially life-threatening complications of dental extractions in patients with hereditary haemorrhagic telangiectasia because of their high prevalence of pulmonary arteriovenous fistulas. Despite the lack of evidence-based guidelines, antibiotic cover should be given to patients with HHT who require oral surgery according to the same rules as those used for patients at high risk of bacterial endocarditis.

Keywords: Dental extraction, Brain abscess, Hereditary hemorrhagic telangiectasia, Pulmonary arteriovenous fistula