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Meningitis and Riga-Fede disease: an unusual condition

Type:  Articles

Pubblication date:  07/2014

Authors:  M. Picciotti*, L. Di Vece**, M. Viviano*, A. Giorgio***, G. Lorenzini*

Language:  English

Institution:  Tuscan School of Dental Medicine, University of Florence and Siena, Italy

Publication:  European Journal of Paediatic Dentistry

Publisher:  Ariesdue Srl

Keywords:  Meningitis; Natal teeth; Neonatal teeth; Traumatic granuloma; Traumatic ulcer.

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Title:  Meningitis and Riga-Fede disease: an unusual condition

Abstract:  Background Riga-Fede disease (RFD) is a benign inflammatory disorder characterised by the appearance of a traumatic ulceration of the oral mucosa. Early detection of RFD and its adequate management are very important. Case report The authors present a an unusual case of RFD with concomitant Staphylococcus aureus meningitis. A 36-day-old female infant was referred to the emergency room of the Hospital of the University of Siena for a 4-day history of high fever. Clinical evaluation revealed the presence of lingual ulceration caused by natal tooth. Few hours later, clinical manifestations were overshadowed by neurological symptoms. The cerebrospinal fluid examination showed the presence of Staphylococcus aureus. The wound healing after extraction of the tooth and the antibiotic therapy have been important for the resolution of this case. A conservative approach is preferable for natal teeth, but in this case the extraction was suggested since a more radical treatment was more likely to avoid major complications.

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European Journal of Paediatric Dentistry | ISSN (Online): 2035-648X |
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