Odontogenic Cutaneous Fistula in Pregnant Woman: Is Long-Term Antibiotic Therapy the Solution?

A 30-year-old pregnant woman developed an odontogenic cutaneous fistula (OCF) five months after having her wisdom tooth extracted. Initially diagnosed as a cutaneous furuncle, the condition was treated with amoxicillin, resulting in temporary improvement. However, it recurred after a month. Upon further evaluation, the lesion was diagnosed as an OCF originating from a chronic dental infection. Due to the patient's pregnancy, the treatment focused on non-invasive periodontal care, including scaling, while antibiotic therapy was maintained. Amoxicillin was initially prescribed; however, due to the progression of the infection, the treatment was switched to clarithromycin after consultation with a dermatologist. Over five months, the lesion gradually resolved, with no acute symptoms remaining. The pregnancy progressed without complications, and the patient gave birth to a healthy baby. This case underscores the challenges of managing odontogenic infections during pregnancy and highlights the importance of tailored antibiotic therapy to ensure the safety of both the mother and fetus.