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Case Report: Severe Dental Abscess Complications in Rural Sierra Leone

Rosa RoemersMasanga Hospital (MH), Masanga, Tonkolili District, Sierra Leone;
Masanga Medical Research Unit (MMRU), Masanga, Tonkolili District, Sierra Leone;

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Aminata I. SesayMasanga Hospital (MH), Masanga, Tonkolili District, Sierra Leone;

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Musa G. SesayMasanga Hospital (MH), Masanga, Tonkolili District, Sierra Leone;
Lion Heart Medical Centre (LHMC), Yele, Tonkolili District, Sierra Leone;

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Jan Henk DubbinkMasanga Hospital (MH), Masanga, Tonkolili District, Sierra Leone;
Masanga Medical Research Unit (MMRU), Masanga, Tonkolili District, Sierra Leone;

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Heleen M. KoudijsLion Heart Medical Centre (LHMC), Yele, Tonkolili District, Sierra Leone;

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Louise K. HoevenaarsLion Heart Medical Centre (LHMC), Yele, Tonkolili District, Sierra Leone;

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Hassan BanguraLion Heart Medical Centre (LHMC), Yele, Tonkolili District, Sierra Leone;

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Fred K. L. SpijkervetDepartment of Oral and Maxillofacial Surgery, University Medical Center Groningen-University of Groningen, The Netherlands;

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Martin P. GrobuschMasanga Hospital (MH), Masanga, Tonkolili District, Sierra Leone;
Masanga Medical Research Unit (MMRU), Masanga, Tonkolili District, Sierra Leone;
Center of Tropical Medicine and Travel Medicine, Division of Internal Medicine, Amsterdam University Medical Centers, location AMC, University of Amsterdam, The Netherlands

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ABSTRACT.

Prevalence data on severe dental infections is scarce, particularly for low-income countries. Patients with dental abscess complications who presented from September 2020 until December 2020 in two hospitals in Tonkolili District, Sierra Leone, were included into this case series. We report on a total of 20 patients, median age 28 years, with severe complications of dental abscesses, with a mortality rate of 45%. This case series illustrates the severity of the dire consequences of the absence of access to basic dental and oral healthcare.

Author Notes

Address correspondence to Martin P. Grobusch, Center of Tropical Medicine and Travel Medicine, Division of Internal Medicine, Amsterdam University Medical Centers, location AMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands. E-mail: m.p.grobusch@amsterdamumc.nl

Authors’ addresses: Rosa Roemers, Masanga Hospital, Masanga, Tonkolili District, Sierra Leone, and Masanga Medical Research Unit (MMRU), Masanga, Tonkolili District, Sierra Leone, E-mail: rosaroemers@gmail.com. Aminata I. Sesay, Masanga Hospital, Masanga, Tonkolili District, Sierra Leone, E-mail: aminata.i.sesay234@gmail.com. Musa G. Sesay, Masanga Hospital, Masanga, Tonkolili District, Sierra Leone, and Lion Heart Medical Centre (LHMC), Yele, Tonkolili District, Sierra Leone, E-mail: gibrilmusaddiq@gmail.com. Jan Henk Dubbink, Masanga Hospital, Masanga, Tonkolili District, Sierra Leone and Masanga Medical Research Unit (MMRU), Masanga, Tonkolili District, Sierra Leone, E-mail: janhenkdubbink@gmail.com. Heleen M. Koudijs, Louise K. Hoevenaars, and Hassan Bangura, Lion Heart Medical Centre (LHMC), Yele, Tonkolili District, Sierra Leone, E-mails: hmkoudijs@gmail.com, louisehoevenaars@gmail.com, and bangurahassan391@gmail.com. Fred K. L. Spijkervet, Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, The Netherlands, E-mail: f.k.l.spijkervet@umcg.nl. Martin P. Grobusch, Masanga Hospital, Masanga, Tonkolili District, Sierra Leone, Masanga Medical Research Unit (MMRU), Masanga, Tonkolili District, Sierra Leone, and Center of Tropical Medicine and Travel Medicine, Division of Internal Medicine, Amsterdam University Medical Centers, location AMC, University of Amsterdam, The Netherlands, E-mail: m.p.grobusch@amsterdamumc.nl.

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