Hyper-IgE recurrent infection syndrome is a very rare primary immunodeficiency characterized by recurrent staphylococcal infections of the skin and lungs and extremely high levels of IgE in serum. This paper describes our experience with tooth extraction in a patient with hyper-IgE recurrent infection syndrome.
Because of pain in the right lower third molar region, a 23-year-old man with hyper-IgE recurrent infection syndrome was referred to our department on June 18, 2004. An periapical lesion of the right lower third molar was detected on X-ray examination. The clinical diagnosis was apical periodontitis. On extraction of the tooth, we performed prophylactic treatment based on the pathogens detected on past infections of the patient, the results of bacterial culture this time, and reports on infections of the oral cavity. The postoperative course was uneventful.