AbstractWe report the case of a 46-year-old diabetic male who presented to us with swelling in the neck associated with dysphagia and respiratory discomfort following dental infection. The CT-scan and soft tissue neck radiograms of the patient revealed an extensive head and neck abscess with gas pockets. Prompt surgical intervention with antibiotic coverage and control of diabetes led to recovery of the patient. The absence in the literature of any previous report of a laryngeal gasforming abscess resulting from a primary dental infection prompted us to report this case.
Alteimer WA, Culbertson WR. Acute non-clostridial crepitant cellulitis. Surg Gynecol Obstet 1948; 87: 206-12.
Gonty AA, Costich ER. Severe facial and cervical infections associated with gas-producing bacteria: report of two cases. J Oral Surg 1981; 39: 702-4.
Mohadjer C, Argat M, Maier H, Weidauer H. Gas producing anaerobic infection of the neck. Laryngorhinootologie 1995; 74: 322-4.
Healy GB, Hyams VJ, Tucker GF. Paraglottic laryngitis in association with epiglottitis. Ann Otol Rhinol Laryngol 1985; 94: 618-21.
Tung-Yiu W, Jehn-Shyun H, Ching-Hung C, Hung-An C. Cervical necrotizing fasciitis of odontogenic origin: A report of 11 cases. J Oral Maxillofac Surg 2000; 58: 1347-52.
Nakamura S, Inui M, Nakase M, Kamei T, Higuchi Y, Goto A et al. Clostridial deep neck infection developed after extraction of a tooth: a case report and review of the literature in Japan. Oral Dis 2002; 8: 224-6.
Chen MK, Wen YS, Chang CC, Lee HS, Huang MT, Hsiao HC. Deep neck infections in diabetic patients. Am J Otolaryngol 2000; 21:169-73.
Shumrick KA, Sheft SA. Deep neck infections. In: Paparella MM, Shumrick DA, editors. Otolaryngology. 3rd ed. Philadelphia: Saunders; 1991. vol.3, p.2545-64.
Schroeder DC, Sarha ED, Hendrickson DA, Healey KM. Severe infections of the head and neck resulting from gas forming organisms: report of case. J Am Dent Assoc 1987; 114: 65-8.
The Brazilian Journal of Oral Sciences uses the Creative Commons license (CC), thus preserving the integrity of the articles in an open access environment.