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Odontogenic Origin Deep Neck Infection of Right Parapharyngeal Space Abscess with Tonsillitis - A Case Report

齒源性深頸部感染併發右側咽旁間隙膿瘍合併扁桃腺炎-病例報告

摘要


Deep neck space infections have become rare due to the common application of antibiotics. While most infections are considered odontogenic, the condition may become urgent and fatal without efficient management. A thorough examination should be performed to identify the cause of the infection. The management plan includes proper antibiotic administration, airway management, and source elimination. A parapharyngeal abscess is a fatal infection of the head and neck region caused by odontogenic infection. We present the case of a patient presenting with mild trismus, fever, and suspected tonsillitis, without associated facial swelling. During examination we identified the cause of the odontogenic infection. After receiving proper antibiotic treatment and undergoing surgical intervention, the patient stabilized and was discharged.

並列摘要


由於抗生素的廣泛使用,深頸部空間感染已逐漸少見,如今大多數的深頸部感染齒源性爲大宗。由於感染進程迅速,可於數小時内致死,如何快速的做出正確診斷並給予適當的手術治療及抗生數使用成爲關鍵。在此,我們提出一位五十歲無明顯臉部腫脹卻有發燒及張口困難的男性病患,同時併發有扁桃腺炎。在檢查過程中,我們經由影像確認了齒源性感染的原因,並安排了適當的抗生素和手術干預,最終患者康復出院。

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