Abstract
Recently serious odontogenic infections have decreased due to (because of) improved chemotherapy. However, it is difficult to control and manage the patient's medical status (condition) if the patient's defense mechanisms are compromised by such disorders as diabetes mellitus. In this paper, we herein report a case of neck and superior mediastinal abscesses complicated with diabetes mellitus, caused by periodontitis of the right lower second molar (second right lower molar).
A 57-year-old male was referred to our hospital complaining of swelling and pain in the submandibular region. The lesions were diagnosed as oral floor phlegmone. The computed tomography revealed that gas-producting lesions extended to the neck and mediastinal space. The patient was admitted for probable surgical incision and drainage, systemic antibiotic treatment and the control of diabetes mellitus.
