ガス産生を伴った重篤な頸部蜂巣炎の1例

概要

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A 51-year-old woman developed a serious gas producing phlegmon which extended from the right cheek to the chest. Necrotizing soft tissue infection infiltrated to components below and above the affected fascia. Crepitation was evident beneath the skin and the foul smelling gas was noted. Antibiotic treatment was initiated intravenously. Excision of the involved fascia and adjacent soft tissues was carried out repeatedly. The patient recovered from this severe condition including DIC after 30 days of intensive care. The dermal defects were reconstructed 60 days after the onset of the disease. Bacteriological examinations did not reveal the presence of any anaerobes including clostridium. We finally diagnosed this case to be non-clostridial cellulitis associated with mixed bacterial infection.
社団法人日本口腔外科学会の論文