EKSPANSI ABSES BUKAL SINISTRA KEARAH COLLI DAN THORAKS DISERTAI PERFORASI GASTER

Abstract

Background: Abscess is infection caused of anerob bacteria. Maxillofacial abcess aetiology was oral focus infection like dental gangren. Unproportional treatment could make complication that makes sistemic condition patient worst, gaster perforation. Objective : to present treatment bucal abscess case that expanding to colli, thoraks and complication based on mistherapy about NSAID with gaster perforation. Case and management: A 59 years old man with chief complain colli abscess and suspect gaster perforation with diffuse abdominal pain and distension gaster since three days. Intraoral inspection was multipel dental gangren. Ultrasonography showed gaster perforation. Incicion drainase was done and eradication oral focus infection with repair gaster perforation under general anaesthesia prosedure. Medication treatment with ceftriaxone injection 2x 1 gram, and paracetamol infus 3x 500 mg. Bacteria kulture was negatif and hospitalization patient until 1 week. Discussion: Gold standart abscess therapy is incision drainase, but there were clinician not aware abiut that and choosed konservative treatment with antibiotic and analgesic, so that less maximal theraphy. Complication NSAID analgesic was gaster iritation, so unproportional drug treatment can lead gaster ulceration or perforation. Conclusion: It is important and consider drug choise for abscess treatment to avoid worst complication development

Keywords

• Abcess, NSAID, Gaster perforation