A case of gas gangrene of the oral cavity and neck associated with DIC.

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A case of gas gangrene of the oral cavity and the neck following pericoronitis is reported. A 47-year-old man who had suffered from pericoronitis of the right lower third molar underwent an incision by a dentist on March 9, 1987. Two days later, he had marked swelling of the oral floor and the left submandibular region with severe sore throat and trismus. He was admitted to the Nagano Red Cross Hospital on March 17. Computed tomography of the neck revealed abundant gas in the soft tissue. Hematological examination showed bleeding tendency. A diagnosis of gas gangrene with disseminated intravascular coagulation (DIC) was made and intravenous administration of antibiotics and gabexate mesilate (FOY) was started. Abscesses of the soft palate and the left lateral neck were successfully drained despite the presence of DIC. Peptococcus and a-streptococcus grew from the cultures of the pus. He recovered uneventfully after the drainage of the abscesses and was discharged on April 24.Early complete surgical debridement with removal of necrotic tissue and administration of antibiotics are thought to be most important for the treatment of gas gangrene.
耳鼻咽喉科臨床学会の論文