Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Sepsis Developed from an Odontogenic Infection: Case Report

치성감염으로 인한 패혈증: 증례보고

  • Kim, Moon-Seob (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Kim, Su-Gwan (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Moon, Seong-Yong (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Oh, Ji-Su (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Park, Jin-Ju (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Jeong, Mi-Ae (Department of Dental Hygiene, Kangwon National University) ;
  • Yang, Seok-Jin (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Jung, Jong-Won (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Kim, Jeong-Sun (Department of Dental Hygiene, Gwangju Health College University)
  • 김문섭 (조선대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김수관 (조선대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 문성용 (조선대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 오지수 (조선대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 박진주 (조선대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 정미애 (강원대학교 치위생학과) ;
  • 양석진 (조선대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 정종원 (조선대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김정선 (광주보건대학교 치위생과)
  • Received : 2011.06.22
  • Accepted : 2011.08.10
  • Published : 2011.09.30
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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 microorganisms 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.

Keywords

References

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