閉鎖性局所持続洗浄療法を応用した難治性の嫌気性混合感染症の1症例

概要

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Oral infections caused by anaerobes are now more frequent because of improved culturing techniques. Some cases of difficult treatment caused by oral anaerobes are occasionally encountered. Recently, we experienced a case of inveterate oral anaerobic infection.<BR>The patient, 25-year-old woman, was admitted to our hospital with the complaining of swelling in the left cheek. The lesions were diagnosed as a submasseteric abscess and an abscess of pterigomandibular space caused by the pericoronitis of the lower third molar. Three oral indigenous anaerobes, Propionibacterium acnes, Bacteroides melaninogenicus, and heparinase-producing Bacteroides, were isolated by bacteriologic examinations. The closed continuous irrigation method has been used for the management of this inveterate infection with chemotherapy. The post-operative course was uneventful and no recurrence was observed.<BR>The correct selection of antibiotics and properly timed surgical intervention are recognized as cornerstones in the treatment of infection. The closed continuous irrigation method is recommended for these cases.
社団法人日本口腔外科学会の論文