Gas gangrene in the deep spaces of the head and neck visualized on computed tomography images.

Authors:
Shoko Gamoh
Shoko Gamoh
Osaka University Graduate School of Dentistry
Japan
Kaname Tsuji
Kaname Tsuji
Osaka Dental University
Japan
Hugo Maruyama
Hugo Maruyama
Osaka Dental University
Japan
Hiroyuki Hamada
Hiroyuki Hamada
Kyushu University
Japan
Hironori Akiyama
Hironori Akiyama
Osaka University
Japan
Pao-Li Wang
Pao-Li Wang
Matsumoto Dental University
Japan
Shosuke Morita
Shosuke Morita
Osaka Dental University
Japan

Oral Radiol 2018 Jan 20;34(1):83-87. Epub 2017 Mar 20.

Department of Oral Radiology, Osaka Dental University, 1-5-17, Otemae, Chuo-ku, Osaka, 540-0008, Japan.

Cellulitis accompanied by gas gangrene is a rapidly-spreading and potentially fatal infection. Here, we present a case of gas gangrene in the deep spaces of the head and neck in an elderly woman, diagnosed by computed tomography (CT). An 86-year-old woman with Alzheimer's disease, hypertension, hyperlipidemia, and osteoporosis was referred to our institute by her local dentist. The patient exhibited trismus caused by severe swelling in the left submandibular area. CT images of the head and neck area showed swelling of the cervical tissue with air in the parapharyngeal and masticator spaces. She was treated with antibiotics, followed by drainage. Although the therapy was continued, the patient died from a cardiac complication on hospital day 42. Our case highlights the usefulness of CT for diagnosing gas gangrene in the deep spaces of the head and neck in a woman with Alzheimer's disease.

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http://link.springer.com/10.1007/s11282-017-0277-9
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http://dx.doi.org/10.1007/s11282-017-0277-9DOI Listing
January 2018
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