糖尿病患者にみられた智歯周囲炎に継発した側頭部後頭部膿瘍の1例

概要

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It is generally accepted that the presence of poorly controlled diabetes very likely contributes to the incidence and severity of infections.<BR>A 45-year-old male was referred to our hospital with a temporal-occipital abscess and a defect of the temporal skin. He has been suffering from DM for 6 years, and insulin treatment was tried as a control for it.<BR>The inflammation probably originated from acute pericoronitis of the left lower third molar, and it extended to the pterygomandibular space, pterygopalatine fossa and infratemporal fossa. The patient was admitted for probable surgical incision and drainage, systemic antibiotic treatment and the control of DM.<BR>If increasing findings of infection are present in a diabetic patient, it is important to strive for normal blood sugar level in addition to the usual treatment with appropriate antibiotics and adequate drainage.