Odontogenic infection involving the secondary fascial space in diabetic and non-diabetic patients: a clinical comparative study

نویسندگان

  • Je-Shin Chang
  • Kil-Hwa Yoo
  • Sung Hwan Yoon
  • Jiwon Ha
  • Seunggon Jung
  • Min-Suk Kook
  • Hong-Ju Park
  • Sun-Youl Ryu
  • Hee-Kyun Oh
چکیده

OBJECTIVES This retrospective study was performed to evaluate the clinical impact of diabetes mellitus on the prognosis in secondary space infection. MATERIALS AND METHODS Medical records, radiographic images, computed tomography, and microbial studies of 51 patients (25 diabetic patients and 26 non-diabetic patients) were reviewed. Patients were diagnosed as secondary fascial space infections with odontogenic origin and underwent treatment at Chonnam National University Hospital, in Department of Oral and Maxillofacial Surgery, from January 2007 to February 2009. RESULTS COMPARED TO PATIENTS WITHOUT DIABETES, PATIENTS WITH DIABETES WERE PRESENTED WITH THE FOLLOWING CHARACTERISTICS: older age (diabetic patients: 62.9 years, non-diabetic patients, 47.8 years), more spaces involved (diabetic patients, 60%; non-diabetic patients, 27.3%), more intense treatment, longer hospitalization (diabetic patients, 28.9 days; non-diabetic patients, 15.4 days), higher white blood cell and C-reactive protein values, higher incidence of complication (diabetic patients, 40%; non-diabetic patients, 7.7%), and distinctive main causative microorganisms. CONCLUSION These results suggest that the prognosis of diabetic patients is poorer than that of non-diabetic patients in secondary space infections since they had greater incidence rates of involved spaces, abnormal hematologic findings, more complications, and additional procedures, such as tracheostomy.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Extensive necrosis of the nick following dental infection in a diabetic patient

Extensive fascial and neel necrosis following diabete is a rare finding ,but if it occurs and left untreated,in can be life threatening due to extension of infection via regional fascia.in this report a 58 years old women is presented who had abscess in chin region due to odontogenic infection.clinical examination showed that,she had an extensive necrotic ulcer in chin and neck region.after lab...

متن کامل

Comparison of Serum Ferritin Levels between Diabetic Patients with COVID-19 and Non-diabetic Patients with COVID-19 Based on Age Groups and Gender

Aims: Chronic diseases strongly affect the severity of infection and mortality in patients with COVID-19. High levels of ferritin also indicate the severity of the disease and may indicate the presence of secondary infections among patients. The aim of this study was to compare ferritin levels in diabetic patients with COVID-19 and non-diabetic patients with COVID-19 based on age and gender gro...

متن کامل

A comparative analysis of odontogenic maxillofacial infections in diabetic and nondiabetic patients: an institutional study

OBJECTIVES The increased prevalence of antibiotic resistance is an outcome of evolution. Most patients presenting with odontogenic space infections also have associated systemic co-morbidities such as diabetes mellitus resulting in impaired host defense. The present study aims to compare the odontogenic spaces involved, antibiotic susceptibility of microorganisms, length of hospital stay, and t...

متن کامل

Comparative analysis of resected prostate weight in diabetic and non-diabetic benign prostatic hyperplasia patients

Background: Benign prostatic hyperplasia (BPH) is the most common benign tumor in men. The etiology of BPH is still unresolved and multiple systems are likely to be involved. The effects of diabetes on urinary system are a risk factor for BPH. We then assessed the effects of diabetes on the parameters related to BPH, especially weight and volume. Methods: This study was conducted on patients...

متن کامل

Evaluation of the difference in severity of lung involvement in chest CT scan of diabetic and non-diabetic patients with Covid-19

Introduction: The new coronavirus, known as severe coronavirus syndrome (SARS-CoV2), is a viral pneumonia caused by an emerging virus that causes Coronavirus Disease 2019 (COVID-19) (1). The etiology and pathology of the disease are not known exactly, but it has been reported to enter host cells by the angiotensin-converting enzyme (ACE2). (2) The range of clinical symptoms of the disease var...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 39  شماره 

صفحات  -

تاریخ انتشار 2013