DİŞ ÇEKİMİNİN YIKICI BİR KOMPLİKASYONU: BOYUN VE MEDİASTİNAL APSENİN EŞLİK ETTİĞİ LEMİERRE SENDROMU

Diş çekimi, günlük rutinde sıklıkla uygulanan bir prosedürdür. Orofarengeal floranın aerobik ve anaerobik mikroorganizmalardan zenginliği nedeniyle diş çekimi sonrası ölümcül enfeksiyonlar meydana gelebilir. Orofarengeal enfeksiyonlar, boyun ve mediastene servikal fasya yoluyla yayılabilir ve yaşamı tehdit eden komplikasyonlarla yumuşak dokularda ve damarlarda şiddetli enfeksiyon ve inflamasyona neden olabilir. Diş çekimi sonrası şiddetli derin boyun enfeksiyonu, amfizem, juguler ven tromboflebiti (Lemierre sendromu), mediastinal apse, ampiyemi komplikasyonları olan ve cerrahi olarak mediastinal apsesi boşaltılan bir olguyu literatür eşliğinde takdim ediyoruz. Diş çekimi, diyabetik hastalarda yaşamı tehdit eden komplikasyonlara neden olabilen oral enfeksiyonunun en sık nedenidir.

Anahtar Kelimeler:

Diş Çekimi, Lemierre Sendromu, Mediastinal Abse.

A DEVASTATING COMPLICATION OF DENTAL EXTRACTION: LEMIERRE’S SYNDROME WITH NECK AND MEDIASTINAL ABSCESS

A dental extraction is a frequently performed procedure in daily routine. Fatal infections may occur after dental extraction due to the richness of the oropharyngeal flora from aerobic and anaerobic microorganisms. Oropharyngeal infections can extend into the neck and mediastinum via cervical fascia leading to severe inflammation in soft tissues and vessels with life-threatening complications. We present a patient with complications after dental extraction procedure including severe deep neck inflammation, thrombophlebitis of jugular vein (Lemierre’s syndrome), mediastinal abscess, and empyema. A dental extraction is the most frequent cause of the oral infection that may cause coexisting and individually life-threatening complications in diabetic patients.

Keywords:

Dental extraction, Lemierre, Mediastinal Abscess,

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