顔面・深頸部ガス産生性蜂窩織炎の1症例

Face and Deep Neck Phlegmone by Gas Forming Anaerobes:Report of a Case

　はじめに

　深頸部蜂窩織炎は，抗生剤の進歩をみた現在でも適切な処置を怠ると，致死的な経過をとることも決して稀ではない。保存的治療で軽快するものもあるが，感染病巣の開放の重要性は以前と変わらない。

　今回われわれは，ガス産生性嫌気性菌による重篤な顔面・深頸部蜂窩織炎の症例を経験したので若干の文献的考察を加えて報告する。

A 55-year-old male presented with chill, highfever, throat pain, and trismus. His face and deep neck swelling rapidly spread to the lower neck and developed dyspnea. He was immediately treated with tracheostomy, surgical drainage of infectious area, antibiotics and hyperbari oxygen therapy. The therapy was effective and successful, and he recovered from this illness completely. Odontogenic infection was suspected as the pri-mary focus.