Abstract

Introduction:

For the occurrence of inflammatory diseases in the maxillofacial region, as well as abscesses and their diffuse forms, called phlegmons, the presence of factors of a general and local nature is necessary. An obligatory factor of a local nature is the inflammatory process – an infection caused by microorganisms, usually commensals, which are part of the permanent oral microbiome, such as the three pathogens isolated in the patients presented by us – Streptococcus anginosus, Staphylococcus epidermidis and Candida albicans.

Materials and methods:

In the second half of 2021, 81 patients with abscesses and phlegmons of the head and neck were treated by us. We present three of the studied patients - men, with an average age of 52 (42-70) years with phlegmons of the mouth floor of odontogenic origin and involvement of the three distinguished lodges under the mylohyoid.

Results and discussion:

Judging by the number of days spent in hospital for the three patients, the one aged 70, in whom the isolated causative agent was Candida albicans, is the one with the most severe relapse.

The oldest patient, in whom the isolated pathogen is Candida albicans and who presents with the greatest number of comorbidities, is the one in whom phlegmon disease of the floor of the mouth is the most severe.

All three paraclinical blood indicators (CRP, WBC and Neutr) had the highest numerical dimensions in the youngest of the patients (aged 42 years), in whom the isolated pathogen was Streptococcus anginosus.

The DNI value in the 45-year-old patient with an isolated pathogen Staphylococcus epidermidis, has the highest level.

Conclusion:

Candida albicans occurs in older patients and in those with a greater number of comorbidities and proceeds most protracted. Streptococcus anginosus is the pathogen that occurs in the youngest patient and leads to the most significant increase in paraclinical indicators. Staphylococcus epidermidis is the pathogen that also occurs in young individuals, with few comorbidities and leads to the shortest stay of patients in hospital clinics.

Keywords

  • abscess
  • Candida albicans
  • head and neck surgery
  • maxillofacial surgery
  • phlegmon
  • Staphylococcus epidermidis
  • Streptococcus anginosus