치성감염으로 인한 패혈증: 증례보고
Sepsis Developed from an Odontogenic Infection: Case Report
김문섭, 김수관, 문성용, 오지수, 박진주, 정미애, 양석진, 정종원, 김정선,
소속 상세정보
김문섭 ( Kim Moon-Seob ) - 조선대학교 치의학전문대학원 구강악안면외과학교실
김수관 ( Kim Su-Gwan ) - 조선대학교 치의학전문대학원 구강악안면외과학교실
문성용 ( Moon Seong-Yong ) - 조선대학교 치의학전문대학원 구강악안면외과학교실
오지수 ( Oh Ji-Su ) - 조선대학교 치의학전문대학원 구강악안면외과학교실
박진주 ( Park Jin-Ju ) - 조선대학교 치의학전문대학원 구강악안면외과학교실
정미애 ( Jeong Mi-Ae ) - 강원대학교 치위생학과
양석진 ( Yang Seok-Jin ) - 조선대학교 치의학전문대학원 구강악안면외과학교실
정종원 ( Jung Jong-Won ) - 조선대학교 치의학전문대학원 구강악안면외과학교실
김정선 ( Kim Jeong-Sun ) - 광주보건대학교 치위생과
KMID : 0360120110330050445
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.
키워드
Abscess; Disseminated intravascular coagulation; Infection; Multiple organ failure
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