Gamoh Shoko, Tsuji Kaname, Maruyama Hugo, Hamada Hiroyuki, Akiyama Hironori, Toda Isumi, Wang Pao-Li, Morita Shosuke, Shimizutani Kimishige
Department of Oral Radiology, Osaka Dental University, 1-5-17, Otemae, Chuo-ku, Osaka, 540-0008, Japan.
First Department of Oral and Maxillofacial Surgery, Osaka Dental University, 1-5-17, Otemae, Chuo-ku, Osaka, 540-0008, Japan.
Oral Radiol. 2018 Jan;34(1):83-87. doi: 10.1007/s11282-017-0277-9. Epub 2017 Mar 20.
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.
蜂窝织炎伴气性坏疽是一种迅速蔓延且可能致命的感染。在此，我们报告一例老年女性头颈部深部气性坏疽病例，通过计算机断层扫描（CT）确诊。一名患有阿尔茨海默病、高血压、高脂血症和骨质疏松症的86岁女性被当地牙医转诊至我院。患者因左下颌下区严重肿胀出现牙关紧闭。头颈部CT图像显示颈部组织肿胀，咽旁间隙和咀嚼肌间隙有气体。她接受了抗生素治疗，随后进行了引流。尽管继续治疗，但患者在住院第42天死于心脏并发症。我们的病例突出了CT在诊断患有阿尔茨海默病的女性头颈部深部气性坏疽中的作用。
