Buddenbrook Syndrome
The Buddenbrooks syndrome is a very rare but all the more dreaded misdiagnosis in dentistry . Toothache-like complaints in the lower jaw , preferably the left side, lead to a visit to a dentist . If a medical correlate can actually be found, for example a pulpid or devitalized , purulent tooth , the primary cause remains undetected, namely a coronary heart disease , which can be life-threatening.
history
The late antique doctor Caelius Aurelianus ( Tardae passiones II, 84) reports that Herophilos of Chalcedon and Herakleides of Taranto , two highly respected authorities in the art of healing, pointed out that people can die from the extraction of a tooth. Since this is hardly a question of the well-known risks of every surgical intervention on the human body, a particularly dramatic treatment incident must be meant. Ferdinand Peter Moog interprets this testimony as an indication that Herophilos was the first to describe the Buddenbrook syndrome. On the one hand, Caelius Aurelianus is obviously against hasty dental actionism. Above all, however, his reference to the eminent authorities serves to protect the dentist from possible accusations in the event of fatal treatment incidents.
Origin of the designation
Buddenbrook syndrome was named after Thomas Mann's novel Buddenbrooks , in which one of the main characters, Thomas Buddenbrook, died after unsuccessful extraction of an inflamed tooth in January 1876 (X, 7th). As a result of its derivation, the term “Buddenbrook Syndrome” is one of the so-called literary syndromes , but is mainly restricted to German-speaking countries.
Differential diagnosis
Web links
Individual evidence
- ↑ Institute for the History and Ethics of Medicine at the University Hospital Cologne
- ^ A b F. P. Moog: Herophilos and the Buddenbrook syndrome2. In: Dtsch Zahnärztl Z. 2003 Aug; 58 (8), pp. 472–476.
- ^ Werner E. Gerabek : Encyclopedia Medical History. 1st edition. de Gruyter, 2004, ISBN 3-11-015714-4 .
- ↑ Literary Lexicon Thomas Mann
