• 1.

      Pak S , Cha D , Meyer C , Dee C , Fershko A , 2017. Ludwig’s angina. Cureus 9: e1588.

  • 2.

      Blankson PK , Parkins G , Boamah MO , Abdulai AE , Ahmed AM , Bondorin S , Nuamah I , 2019. Severe odontogenic infections: a 5-year review of a major referral hospital in Ghana. Pan Afr Med J 32: 71.

    • Search Google Scholar
    • Export Citation
  • 3.

      Saifeldeen K , Evans R , 2004. Ludwig’s angina. Emerg Med J 21: 242–243.

  • 4.

      Peres MA et al.2019. Oral health 1-oral diseases: a global public health challenge. Lancet 394: 249–260.

  • 5.

      Kirthiga M , Murugan M , Saikia A , Kirubakaran R , 2019. Risk factors for early childhood caries: a systematic review and meta-analysis of case control and cohort studies. Pediatr Dent 41: 95–112.

    • Search Google Scholar
    • Export Citation
  • 6.

      Brook I , 2007. Microbiology and principles of antimicrobial therapy for head and neck infections. Infect Dis Clin North Am 21: 355–391.

    • Search Google Scholar
    • Export Citation
  • 7.

      Hugo FN , Kassebaum NJ , Marcenes W , Bernabé E , 2021. Role of dentistry in global health: challenges and research priorities. J Dent Res 100: 681–685.

    • Search Google Scholar
    • Export Citation
  • 8.

    World Health Organization WHO , 2016. Oral Health. Geneva, Switzerland: WHO. Available at: https://www.who.int/health-topics/oral-health/#tab=tab_1 Accessed July 17, 2021.

  • 9.

      An J , Madeo J , Singhal M , 2021. Ludwig Angina. StatPearls. Available at: https://www.ncbi.nlm.nih.gov/books/NBK482354/ Accessed July 23, 2021.

  • 10.

      Bansal A , Miskoff J , Lis RJ , 2003. Otolaryngologic critical care. Crit Care Clin 19: 55–72.

  • 11.

      Edetanlen BE , Saheeb BD , 2018. Comparison of outcomes in conservative versus surgical treatments for Ludwig’s angina. Med Princ Pract 27: 362–366.

    • Search Google Scholar
    • Export Citation
  • 12.

      McDonnough JA , Ladzekpo DA , Yi I , Bond WR Jr. , Ortega G , Kalejaiye AO , 2019. Epidemiology and resource utilization of Ludwig’s angina ED visits in the United States 2006–2014. Laryngoscope 129: 2041–2044.

    • Search Google Scholar
    • Export Citation
  • 13.

     World Health Organization , 2021. Universal Health Coverage. Geneva, Switzerland: WHO. Available at: https://www.who.int/health-topics/universal-health-coverage#tab=tab_1. Accessed June 12, 2021.

  • 14.

      Ghotane SG , Challacombe SJ , Gallagher JE , 2019. Fortitude and resilience in service of the population: a case study of dental professionals striving for health in Sierra Leone. BDJ Open 5: 7.

    • Search Google Scholar
    • Export Citation
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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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