Submandibular abscess of dental origin and its evolution, in immunosuppressed and non-collaborated patients. Clinical case

Abstract

We present a case of a 36-year-old female patient with type 2 (non-insulin-dependent) diabetes mellitus, who was admitted urgently to the ER service accused the following signs and symptoms: asymmetry of the face with Celsus signs present at the submandibular on the right side, trismus, febrile syndrome. The clinically conscious patient refuses hospitalization, therefore it was the reason for leaving the ER (emergency room) with oral treatment, and a recommendation to perform a dental consultation as soon as possible. Surgical intervention is performed, with multiple incisions, both external and endo-oral incisions, with the collection of secretion for culture (no germs have grown). Medical treatment drugs parenteral antibiotics, oral anti-diabetics, and insulin was administered continued. The purpose of the paper was to highlight patient compliance and cooperation. In our case, delaying the discharge of an abscess, by about 48 hours with an uncooperative patient with diabetes, led to multiple complications and prolonged hospitalization.