Tanaka Katsunori, Tsutsumi Yasuhiko, Nakatani Takumi, Tagaya Midori
Department of Pediatrics, National Hospital Organization Higashi-Ohmi General Medical Center, Higashiomi, JPN.
Department of Oral and Maxillofacial Surgery, National Hospital Organization Higashi-Ohmi General Medical Center, Higashiomi, JPN.
Cureus. 2024 Feb 20;16(2):e54579. doi: 10.7759/cureus.54579. eCollection 2024 Feb.
Cellulitis, abscess, or both are among the most common skin and soft tissue infections. Typically, cellulitis arises due to bacterial penetration through breaches in the skin's protective barrier. However, in cases of facial cellulitis, it is necessary to consider not only the breakdown of the skin barrier but also to differentiate odontogenic cellulitis. A prompt and accurate diagnosis of facial infections stemming from dental issues, coupled with the administration of antibiotics and dental interventions, played a crucial role in resolving this condition. Odontogenic cellulitis often develops as a result of dental caries. However, we experienced a case of odontogenic cellulitis and skin abscess occurring due to a simple bone cyst in the mandible, even in the absence of dental caries. Proper imaging examinations are crucial for diagnosis.
蜂窝织炎、脓肿或两者皆是最常见的皮肤和软组织感染。通常，蜂窝织炎是由于细菌穿透皮肤保护屏障的破损处而引发。然而，在面部蜂窝织炎的病例中，不仅要考虑皮肤屏障的破坏，还需鉴别牙源性蜂窝织炎。迅速且准确地诊断由牙齿问题引起的面部感染，并结合使用抗生素和牙科干预措施，对解决这种情况起着关键作用。牙源性蜂窝织炎通常由龋齿发展而来。然而，我们遇到了一例因下颌骨单纯性骨囊肿导致牙源性蜂窝织炎和皮肤脓肿的病例，即便没有龋齿。恰当的影像学检查对诊断至关重要。
