Year 2014, Volume 1, Issue 1, Pages 11 - 15 2014-12-05

Massive cutaneous fistula secondary to an odontogenic submandibular abcess in an immunocompromised patient: a case report

Tamer Zerener [1] , Gurkan Bayar [2] , Aydin Gulses [3] , Kemal Simsek [4] , Yavuz Aydintug [5]

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ABSTRACT
Extraoral sinus tracts of dental origin often are a diagnostic challenge. A delay in correctly diagnosing these types of lesions can result in ineffective and inappropriate treatment. A 64 year-old immunocompromised female with a huge cutaneous draining tract was referred to our clinic complaining of a purulent discharge from her skin on her right submandibular area. In clinical examination and radiographic assessment, periapical lesion associated with roots of lower right first molar was noticed. According to the patient history, she had kidney transplantation 17 years ago. Following the identification of the source of infection, it was surgically and medically resolved, and skin closure was performed. Her postoperative healing period was supported with hyperbaric oxygen therapy as well. Sinus tract was successfully treated.
ÖZET
Diş kaynaklı ekstraoral apse drenajları teşhiste sıklıkla kafa karıştırıcı bir problemdir. Bu tip lezyonların doğru bir şekilde teşhisinde yaşanan gecikme etkili ve uygun olmayan bir tedavi yaklaşımı ile sonuçlanabilir. Büyük bir kutanöz drenaj lezyonu ve immün system yetmezliği bulunan 64 yaşında kadın hasta, sağ submandibular bölgesinde pirülan bir akıntı ile kliniğimize başvurdu. Klinik muayenesi ve radyografik değerlendirilmesinde, sağ alt birinci azı dişinden kaynaklı periapikal lezyon olduğu fark edildi. Hastanın alınan tıbbi hikayesinde, 17 yıl önce böbrek transplantasyonu geçirmiş olduğu tespit edildi. Enfeksiyon kaynağının tespitini takiben, enfeksiyon kaynağı cerrahi ve medical olarak tedavi edildi ve cilt açıklığı kapatıldı. Hastanın postoperative iyileşme periyodu hiperbarik oksijen tedavisi ile desteklendi. Ekstraoral apse drenajı başarılı bir şekilde tedavi edildi.
Cutaneous, odontogenic, sinus, immunocompromised, hyperbaric oxygen therapy
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Primary Language en
Subjects
Journal Section Case Reports
Authors

Author: Tamer Zerener

Author: Gurkan Bayar

Author: Aydin Gulses

Author: Kemal Simsek

Author: Yavuz Aydintug

Bibtex @ { cumudj56975, journal = {Cumhuriyet Dental Journal}, issn = {1302-5805}, eissn = {2146-2852}, address = {Cumhuriyet University}, year = {2014}, volume = {1}, pages = {11 - 15}, doi = {10.7126/cdj.58140.1008002047}, title = {Massive cutaneous fistula secondary to an odontogenic submandibular abcess in an immunocompromised patient: a case report}, key = {cite}, author = {Zerener, Tamer and Bayar, Gurkan and Gulses, Aydin and Simsek, Kemal and Aydintug, Yavuz} }
APA Zerener, T , Bayar, G , Gulses, A , Simsek, K , Aydintug, Y . (2014). Massive cutaneous fistula secondary to an odontogenic submandibular abcess in an immunocompromised patient: a case report. Cumhuriyet Dental Journal, 1 (1), 11-15. DOI: 10.7126/cdj.58140.1008002047
MLA Zerener, T , Bayar, G , Gulses, A , Simsek, K , Aydintug, Y . "Massive cutaneous fistula secondary to an odontogenic submandibular abcess in an immunocompromised patient: a case report". Cumhuriyet Dental Journal 1 (2014): 11-15 <http://dergipark.gov.tr/cumudj/issue/4259/56975>
Chicago Zerener, T , Bayar, G , Gulses, A , Simsek, K , Aydintug, Y . "Massive cutaneous fistula secondary to an odontogenic submandibular abcess in an immunocompromised patient: a case report". Cumhuriyet Dental Journal 1 (2014): 11-15
RIS TY - JOUR T1 - Massive cutaneous fistula secondary to an odontogenic submandibular abcess in an immunocompromised patient: a case report AU - Tamer Zerener , Gurkan Bayar , Aydin Gulses , Kemal Simsek , Yavuz Aydintug Y1 - 2014 PY - 2014 N1 - doi: 10.7126/cdj.58140.1008002047 DO - 10.7126/cdj.58140.1008002047 T2 - Cumhuriyet Dental Journal JF - Journal JO - JOR SP - 11 EP - 15 VL - 1 IS - 1 SN - 1302-5805-2146-2852 M3 - doi: 10.7126/cdj.58140.1008002047 UR - https://doi.org/10.7126/cdj.58140.1008002047 Y2 - 2019 ER -
EndNote %0 Cumhuriyet Dental Journal Massive cutaneous fistula secondary to an odontogenic submandibular abcess in an immunocompromised patient: a case report %A Tamer Zerener , Gurkan Bayar , Aydin Gulses , Kemal Simsek , Yavuz Aydintug %T Massive cutaneous fistula secondary to an odontogenic submandibular abcess in an immunocompromised patient: a case report %D 2014 %J Cumhuriyet Dental Journal %P 1302-5805-2146-2852 %V 1 %N 1 %R doi: 10.7126/cdj.58140.1008002047 %U 10.7126/cdj.58140.1008002047
ISNAD Zerener, Tamer , Bayar, Gurkan , Gulses, Aydin , Simsek, Kemal , Aydintug, Yavuz . "Massive cutaneous fistula secondary to an odontogenic submandibular abcess in an immunocompromised patient: a case report". Cumhuriyet Dental Journal 1 / 1 (December 2014): 11-15. https://doi.org/10.7126/cdj.58140.1008002047