歯性感染症から進展した頸部蜂巣炎, 縦隔炎の1例 A case of cervical cellulitis and mediastinitis developing from odontogenic infection

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著者

    • 伊藤 聡 ITO Satoshi
    • 府中恵仁会病院歯科口腔外科 Department of Dentistry and Oral Surgery, Fuchu Keijinkai Hospital
    • 濱田 良樹 [他] HAMADA Yoshiki
    • 鶴見大学歯学部口腔外科学第1講座 First Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tsurumi University
    • 金村 弘成 KANEMURA Hironari
    • 鶴見大学歯学部口腔外科学第1講座 First Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tsurumi University
    • 堀江 彰久 HORIE Akihisa
    • 鶴見大学歯学部口腔外科学第1講座 First Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tsurumi University
    • 瀬戸 〓一 SETO Kanichi
    • 鶴見大学歯学部口腔外科学第1講座 First Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tsurumi University

抄録

The authors report a case of cervical cellulitis and mediastinitis developing from odontogenic infection.<BR>A 52-year-old woman visited our clinic because of dyspnea and pain on swallowing. She was given a diagnosis of cervical cellulitis caused by an odontogenic infection of the lower left second and third molars. We administered antibiotics and extracted the lower left second and third molars. However, the patient's condition deteriorated, and the inflammation spread to the contralateral side. Four days later, surgical drainage of the left submental and submandibular regions was performed under general anesthesia.<BR>Despite this surgical procedure, a postoperative computed tomographic (CT) scan revealed anterosuperior mediastinitis and thrombosis extending from the right subclavian vein to the brachiocephalic vein. Therefore, transcervical mediastinal drainage, thrombolytic therapy, and placement of a vena cava filter were performed. Subsequently, the patient recovered uneventfully.<BR>Our experience indicates that it is important to accurately diagnose rapidly developing lesions and to promptly perform surgery when severe odontogenic infection is encountered.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 51(10), 489-492, 2005-10-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018954407
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • NDL 記事登録ID
    7708745
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  CJP引用  NDL  J-STAGE 
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