โ Scribed by C. Geoffrey Boothroyd; A. D. Corps; Lieut.-Col. Cameron Macleod
No coin nor oath required. For personal study only.
THE incidence of acute spreading cellulitis of the neck, of dental origin, is fortunately uncommon.
The following case is deemed worthy of record for two reasons : first, to illustrate the speed with which a streptococcal infection may progress to a fatal termination when once the process has spread beyond the barrier of the mylohyoid muscles ; and, secondly, because at the autopsy the authors were fortunate in obtaining specimens and evidence indicative of the course of events.
HISTORY.-some eight months prior to the onset of his final illness, the patient, a well-developed male of 34, had complained of thermal sensitivity in region.
A dressing was iffserted in the too;$ and this symptom subsided, until a slight toothache occurred three days prior to his admission. The following day, pain became acute in the region of the left angle of the mandible and a pyrexia developed. Thereafter his condition became progressively worse, and treatment was supplemented by the administration of M & B 693, until he was admitted to hospital at midday on Feb. 22, 1945.
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