Abstract
We report a case of mediastinal emphysema following dental treatment in a 44-year-old man seen for pharyngeal and chest pain after the left mandibular third molar was extracted. Computed tomography confirmed emphysema. He was hospitalized to treat high fever, increased white blood cell counts and high c-reacted protein. We injected dripenem intravenously to avoid mediastinitis following emphysema. He was discharged on hospital day 5. Mediastinal emphysema is a rare dental treatment complication requiring early diagnosis and infection control to ensure a positive outcome.
