Proceedings of the KAIS Fall Conference (한국산학기술학회:학술대회논문집)
- 2011.12a
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- Pages.326-329
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- 2011
Sepsis Developed from an Odontogenic Infection
근막간극감염에 의한 패혈증 연구
- Jeong, Mi-Ae (Department of Dental Hygiene, Kangwon National University)
- 정미애 (강원대학교 치위생학과)
- Published : 2011.12.09
Abstract
Mortality associated with maxillofacial infection is relatively low due to the development of antibiotics, and improved oral care. However, inappropriate treatment, delayed treatment, old age, underlying systemic disease, and drug-resistant micro-organisms can potentially result in life threatening situations such as cavernous sinus thrombosis, mediastinitis, and sepsis. Sepsis is the most dangerous state with high mortality, ranging from 20~60%. The treatment of sepsis involves properly monitoring vital functions, fluid resuscitation, surgical drainage, and empirical use of high doses of antibiotics until culture results are available. Ventilatory support maybe be required as well. We encountered a 64-year-old patient who died from sepsis that developed as the result of an odontogenic infection. The initial diagnosis was right temporal, infraorbital, buccal, pterygomandibular space abscess. Despite surgical and medical supportive care, the condition progressed to sepsis and after four days the patient died due to multiple organ failure.
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