Finally, at the renal level, postoperative acute functional renal failure was present in remission after several vascular filling sessions.
The prognosis was subsequently favorable, and the patient was shifted to the multidisciplinary surgical unit after 7 days. The patient was back in the operating room 10 days after the initial surgery for drainage and lavage of the cervicotomy site, changing of the tracheostomy cannula, and placement of a nasogastric tube. Sudden arterial hemorrhage at the cervicotomy site required a third surgical procedure for restoring hemostasis under general anesthesia 16 days postoperatively.
The prognosis was subsequently very favorable, with weaning of the tracheostomy, and the patient was finally discharged 25 days after hospitalization.
Table 1 illustrates the treatment timeline of the patient during hospitalization. Local homecare for tracheostomy opening and cervicotomy scar was provided by a nurse, and regular clinical checks in the maxillofacial surgery department were performed, with a favorable prognosis. Consultation with a dental surgeon was necessary for general prosthetic rehabilitation with the extraction of the remaining non-conservable teeth 11, 12, and 23 and making of complete maxillary and mandibular removable prostheses.
Diffuse cellulitis is a sudden, severe disease with major general and regional repercussions that can lead to death in one third of the cases [ 1 ].
Its origin is often dental or periodontal in nature pericoronitis, periapical infection, and periodontal abscess but can also be related to an infection of the main salivary glands or ENT area e. From its initial origin, the infection tends to spread in various deep anatomical chambers, which are compartmentalized by cervicofacial fascias and fibrous or aponeurotic lamina, which can limit its infectious spread.
Additional radiographic examinations, especially cervicofacial CT, are essential for the management of this severe form of cellulitis. In fact, imaging modalities enable precise, three-dimensional observation of the extent of infection according to different anatomical chambers, suspected complications in particular, diffusion to the endocranial and mediastino-pulmonary spacesand surgical planning [ 9 ].
However, it is worth noting that radiological assessment is important but should not delay emergency treatment in severe cases including necrotizing fasciitis. From an epidemiological point of view, the study by Rakotoarison et al. Among the subjects most affected by diffuse cellulitis are men aged between 20 and 30 years, patients with poor oral hygiene, and those belonging to poor socioeconomic classes.
Cofactors such as older age; underlying systemic disease; the consumption of alcohol, tobacco, or drugs; nutritional imbalance; diabetes; and pregnancy have also been reported in some studies [ 12 — 15 ]. The management of diffuse cervicofacial cellulitis should be performed as early as possible. Hospitalization is inevitable, and the coordination of various medical and surgical teams is essential to ensure that the three aspects of treatment, including medical with massive broad-spectrum intravenous antibioticssurgical cervicotomy to ensure the drainage of the purulent collections and removal of any necrotic tissue, possible thoracotomy in case of mediastinal diffusionand intensive care depending on the patient's general condition; may require intubation or tracheotomy because of dyspneaare taken care of.
Notably, this is a severe and potentially fatal infection, which can be prevented with proper oral hygiene and provision of dietary hygiene education to the patients. Data correspond to usage on the plateform after The current usage metrics is available hours after online publication and is updated daily on week days. Open Access.
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Table 1 Therapeutic chronology surgicsal procédures, hospitalization, antibiotic therapy. Médecine n. DOI: Pathologie inflammatoire et infectieuse de la sphère oto-rhino-laryngologique. Cellulite d'origine dentaire engageant le pronostic vital: à propos d'un cas. Med Buccale Chir Buccale ;— Mediastinitis from odontogenic infection. Report of three cases and review of the literature. Int J Oral Maxillofac Surg ;— Save as favorites. Access to the full text of this article requires a subscription.
If you are a subscriber, please sign in 'My Account' at the top right of the screen. Microbiology of facial cellulitis related to dental infection. Janvier bX. Dufour aG. Bouche cJ. Corresponding author. Outline Masquer le plan. Samples and maxillary or mandibular quadrant lesion. Disclosure of interest. Top of the page - Article Outline. Contact Help Who are we? As per the Law relating to information storage and personal integrity, you have the right to oppose art 26 of that lawaccess art 34 of that law and rectify art 36 of that law your personal data.
You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted. Personal information regarding our website's visitors, including their identity, is confidential.
The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties. It can be serious if not treated promptly. The infection develops suddenly and can Feb 3, - Cellulitis is a common infection of the skin and the soft tissues underneath. WebMD explains causes, symptoms, treatmentand prevention.
If the infection isn't too bad, you can take antibiotics by mouth for a week to 14 days. Jump to Treatment for cellulitis - Antibiotics are used to treat the infection. Oral antibiotics may be adequate, but in the severely ill person, It can also develop around the eyes, mouthand anus, or on the belly. Getting treated right away can help prevent the spread of cellulitis. Oct 29, - Cellulitis is a serious skin infection that shouldn't be treated at home.
Your doctor will usually prescribe a to day regimen of oral antibiotics to treat your cellulitis. The length of your treatment with oral antibiotics will depend on the severity of your condition.
Cellulitis treatment dental
Apr 10, - Cellulitis treatment usually includes a prescription oral antibiotic. Within three days of starting an antibiotic, let your doctor know whether the Cellulitis is a bacterial infection involving the inner layers of the skin. It specifically affects the Treatment is typically with antibiotics taken by mouthsuch as cephalexin, amoxicillin or cloxacillin.
For those who are seriously allergic to penicillin, Feb 1, - Immediate treatment involves antibiotic therapy for cellulitisperhaps with Cellulitis is a common and sometimes serious infection caused by bacteria.