Sinistra Buccal Abscess With Reactive Thrombocytosis In A Pediatric Patient (A Case Report)

Abstract

Odontogenic infection is a common polymicrobial infection caused by bacteria, if the focus of infection is left untreated it can cause inflammation which can lead to local and systemic complications. Thrombocytosis in children is generally reactive thrombocytosis or secondary thrombocytosis which is defined as an abnormally high platelet count caused by inflammatory, neoplastic, and infectious diseases where the platelet count can increase >700,000/µL. Chronic infections that are commonly the main causes often associated with thrombocytosis are abscesses and chronic osteomyelitis.  Case report: A 9-year-old male patient was admitted to RSGM Hasanuddin University with complaints of swelling in the left area of the lower jaw extending to the cheek with a size of ± 7 x 6 x 2 cm, diagnosed as buccal abscess sinistra which extends to submandibula sinistra due to pulp gangrene 36. The results of routine blood laboratory tests showed platelets of 744,000/µL suggestive of thrombocytosis. Management to overcome the focus of infection in the form of empirical antibiotic therapy, extra oral drainage incision and extraction of tooth 36 under local anesthesia. Post-action platelet evaluation and treatment of infection did not show an increase in platelets (141,000/µL). Management in the form of empirical antibiotic administration, extra oral drainage incision and extraction under local anesthesia is the most appropriate therapeutic option to overcome the focus of infection in pediatric patients who have buccal abscess sinistra with reactive thrombocytosis.