縦隔炎を併発した歯性感染症の１例

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  • A case of odontogenic infection accompanied by mediastinitis.

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Recently serious odontogenic infections have decreased because of improved chemotherapy. However, it is difficult to control if patient's defenses are compromised by such as DM.<BR>A 65-year-old female was referred to our hospital with swelling in the left neck and dyspnea. The lesions were diagnosed as oral floor phlegmone and mediastinitis caused by odontogenic infection of the lower second molar. She was also diagnosed as latent DM. In spite of surgical treatment and chemotherapy for detected anaerobes along with insulin treatment for DM, she died one month after the admission.<BR>In such a case it is nesessary to control DM, to select effective antibiotics after frequent examinations of bacteria and to perform proper surgical treatment.

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