J Korean Assoc Oral Maxillofac Surg.  2013 Aug;39(4):175-181.

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

• Chang JS
• Yoo KH
• Yoon SH
• Ha J
• Jung S
• Kook MS
• Park HJ
• Ryu SY
• Oh HK

Abstract

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.

Keyword

Diabetes mellitus; Diabetes complications; Bacterial infections; Abscess; Cellulitis

MeSH Terms

Abscess
Bacterial Infections
C-Reactive Protein
Cellulitis
Diabetes Complications
Diabetes Mellitus
Hospitalization
Humans
Incidence
Leukocytes
Medical Records
Prognosis
Retrospective Studies
Surgery, Oral
Tracheostomy
C-Reactive Protein

Figure

• 

  Fig. 1 A. Axial view of computed tomography (CT) scans disclose the fascial space of pterygomandibular, parapharyngeal, retropharyngeal, and submandibular space. B. Coronal view of CT scans show widened spaces.

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