Extended necrotic odontogenic infection of the mouth floor complicated by bilateral mastitis and sepsis. Case report

Lepilin Alexander Viktorovich, Oganesyan Arman Arshakovich, Petrash Denis Alexandrovich, Tischkov Denis Sergeevich

Problem of the odontogenic infection life-threatening complications treatment is still actual. Mortality in cases of the maxillofacial area phlegmons complications reaches up to 40%. The aim of the study was to show a possible course of the maxillofacial region, deep cellular spaces of the neck and chest anterior surface widespread putrefactive-necrotic odontogenic phlegmon spread in a patient without concomitant systemic pathology. We analyzed the medical history No. 119023044 of patient G., 46 years old, who was hospitalized in the Maxillofacial Surgery department of the Budget Medical Institution "Kursk Regional Clinical Hospital" for 28 days with the diagnosis: Widespread putrefactive-necrotic odontogenic phlegmon of the mouth floor, deep cellular spaces of the neck and anterior surface of the chest, complicated by bilateral mastitis. Sepsis. The spread of phlegmon to the mammary glands led to the development of bilateral mastitis and sepsis. The patient received conservative treatment in the intensive care unit until the general condition was stabilized and debridement. After cleaning the postoperative wounds, plastic surgery was performed on the skin defect of the chest anterior surface. The patient was discharged with improvement for outpatient treatment and further rehabilitation. The clinical case described by us demonstrates a variant of the progression of odontogenic infection of the maxillofacial region soft tissues.

Keywords:putrefactive-necrotic phlegmon, maxillofacial area, mastitis, sepsis