Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal; Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal; Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
BMJ Case Rep. 2021 Feb 10;14(2):e236766. doi: 10.1136/bcr-2020-236766.
Diagnosis of source of maxillofacial infection in paediatric patients can be challenging due to difficulty in eliciting a proper history and multiple potential sources of infection. Identification and removal of the nidus of infection with decompression and institution of antibiotic therapy as per the culture-sensitivity report form the mainstay treatment of the infection. Deviation from it may result in persistence or even progression of infection, resulting in significant morbidity and mortality. In the past decade, the incidence of community-acquired methicillin-resistant infection in the oral cavity has seen an upward trend. This has further led to an increase in complexity in the diagnosis of maxillofacial infections. In this case, the authors want to bring to light the challenges faced in managing a paediatric patient with persistent fascial space infection even after removal of the offending tooth, which signifies the importance of managing the infection by the time-tested protocol.
由于儿童在提供准确病史方面存在困难，并且感染源可能多种多样，因此诊断儿童颌面感染的来源具有一定挑战性。识别和消除感染灶，减压，并根据培养药敏报告使用抗生素是治疗感染的主要方法。如果不遵循这些方法，可能会导致感染持续甚至恶化，从而导致严重的发病率和死亡率。在过去十年中，口腔社区获得性耐甲氧西林金黄色葡萄球菌感染的发病率呈上升趋势。这进一步增加了颌面感染诊断的复杂性。在本例中，作者希望强调即使在去除病灶牙后，仍持续存在筋膜间隙感染的儿童患者的管理所面临的挑战，这凸显了按照久经考验的方案来管理感染的重要性。
