A case of facial erysipelas which caused by odontogenic infection

DOI 15 References
  • MOCHIZUKI MIE
    Maxillofacial Surgery, Graduate School, Tokyo Medical and Dental University
  • MISHIMAGI TAKASHI
    Maxillofacial Surgery, Graduate School, Tokyo Medical and Dental University
  • SONODA ITARU
    Maxillofacial Surgery, Graduate School, Tokyo Medical and Dental University
  • SATO YUTAKA
    Maxillofacial Surgery, Graduate School, Tokyo Medical and Dental University
  • ARAI NAOYA
    Maxillofacial Surgery, Graduate School, Tokyo Medical and Dental University
  • AMAGASA TERUO
    Maxillofacial Surgery, Graduate School, Tokyo Medical and Dental University

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  • 歯性感染症が原因と考えられた顔面丹毒の１例

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Abstract

Erysipelas is a superficial edematous dermatitis. It is most commonly caused by β-hemolytic streptococci. Recently, it has become a rare disease because of the development of antibacterial agents. A case of facial erysipelas caused by odontogenic infection was presented. The patient visited our hospital with the chief complaint of flare and swelling of the right cheek. She felt weary, because her body temperature was 37.3°C. As intraoral findings, the maxillary right first premolar tooth had percussion pain and flare of the peripheral gum. It was treated by intravenous antibiotic therapy for three days, followed by antibiotics given orally for two months. After about one month, the facial erysipelas disappeared completely. The progress has remained good for six months after the medical therapy.

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