A case of nonclostridial gas-producing phlegmon in the mouth floor and neck in a young healthy patient

Autor:	Nobuoki Sakai, Kazuki Hayashi, Kanichi Seto, Yuki Tokunaga, Junichi Sato
Rok vydání:	2000
Předmět:	Spontaneous pain medicine.medical_specialty Emergency tracheostomy Phlegmon medicine.diagnostic_test business.industry Clinical diagnosis medicine Soft tissue Computed tomography business medicine.disease Surgery
Zdroj:	Japanese Journal of Oral & Maxillofacial Surgery. 46:599-601
ISSN:	2186-1579 0021-5163
DOI:	10.5794/jjoms.46.599
Popis:	A case of nonclostridial gas-producing phlegmon in the mouth floor and neck of a young healthy patient is reported. A 24-year-old man had swelling and pain on the right submandibular region. Two days before admission to our hospital, he had pain and swelling of right lower molar region. On the next day, a swelling and spontaneous pain developed at the right submandibular region with pyrexia after 6 had been extracted by the patient himself. A clinical diagnosis of oral floor phlegmon was made. Antibiotic treatment was initiated intravenously. Three days later, he complained of dyspnea. Computed tomography (CT) revealed extension of gas bubbles in the soft tissue. Emergency tracheostomy and surgical drainage were performed. He recovered uneventfully and was discharged after 45 days.Early detection of gas bubbles by CT, complete surgical drainage and administration of antibiotics are considered the most important factors in treating gas-producing phlegmon.
Databáze:	OpenAIRE
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