Abstract
We report a case of non-clostridial gas gagrene caused by odontogenic infection.A 35-year-old man was referred to our hospital because of swelling in the neck and the anterior chest. Crepitation was evident beneath the skin and computed tomography (CT) showed abundant gas extending from the left parapharyngeal space and the bilateral submandibular space to the anterior chest through the neck. He was admitted immediately and underwent drainage from the cervical incision and surgical debridement with the administration of antibiotics. Hyperbaric oxygen treatment was performed from the day after the operation because clostridial gas gangrene could not be ruled out by microscopic examination. After treatment, the patient recovered and was discharged on the 44th postoperative day. Bacteriologic examination revealed Bacteroides buccae and anaerobic gram positive cocci.
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