RESUMO
The advent and wide use of antibiotics have decreased the incidence of deep neck infection. When a deep neck infection does occur, however, it can be the cause of significant morbidity and death, resulting in airway obstruction, mediastinitis, pericarditis, epidural abscesses, and major vessel erosion. In our clinic, a patient with diffuse chronic osteomyelitis of mandible and fascial space abscess and necrotic fasciitis due to odontogenic infection at the time of first visit came. We successfully treated the patient by early diagnosis using contrast-enhanced CT and follow up dressing through the appropriate use of radiographic images.
Assuntos
Humanos , Abscesso , Obstrução das Vias Respiratórias , Antibacterianos , Bandagens , Diagnóstico Precoce , Abscesso Epidural , Fasciite , Fasciite Necrosante , Seguimentos , Glicosaminoglicanos , Incidência , Mandíbula , Mediastinite , Pescoço , Osteomielite , Pericardite , PorfirinasRESUMO
Assuntos
Humanos , Corticosteroides , Diagnóstico , Síndrome de Guillain-Barré , Sistema Imunitário , Imunoglobulinas , Influenza Humana , Mandíbula , Dente Molar , Neurite (Inflamação) , Paralisia , Sistema Nervoso Periférico , Troca Plasmática , Reflexo , Extração DentáriaRESUMO
Mucormycosis is an acute opportunistic infection caused by a saprophytic fungus found in soil, decaying fruits and vegetables. Numerous predisposing risk factors are associated with mucormycosis, although most cases have been reported in poorly controlled diabetics or in patients with hematologic malignant conditions. Throughout the history of mucormycosis, from the first case in humans reported in 1885 by Paltauf, through publication by Gregory et al of the first observation of rhino-orbital cerebral mucormycosis in 1943, to the report by Harris in 1955 of the first known survivor, little has changed in the diagnosis and outcome of this disease. Without treatment, the patient may die after an interval ranging from a few days to a few weeks. Regulation of diabetes mellitus and a decrease in the dose of immunosuppressive drugs facilitate the treatment of Mucormycosis. Extensive debridement of craniofacial lesions appears to be very important. intravenous amphotericin B is clearly of value. This is a case report of a patient with mucormycosis in maxilla. He was an uncontrolled DM patient, and for the treatment of intravenous amphotericin B and sequestrectomy were applied.
Assuntos
Humanos , Anfotericina B , Desbridamento , Diabetes Mellitus , Diagnóstico , Frutas , Fungos , Maxila , Mucormicose , Infecções Oportunistas , Publicações , Fatores de Risco , Solo , Sobreviventes , VerdurasRESUMO
SCUBA diving has become increasingly popular, but it is a sport with high risks. It has been widely accepted that the neurologic sequelae of decompression illness (DCI) are confined to the spinal cord. However, cortical blindness is very rare in the central nervous system DCI. We report a case of DCI who showed cortical blindness and MRI abnormalities. The cortical blindness improved after serial hyperbaric oxygenation therapy with the USN table 6A protocol. (J Korean Neurol Assoc 19(4):404~406, 2001)