Concluded Case

Cellulitis (post insect bite) with Taenia Facialis

10 yrs male with c/c of swelling left side of face since 4 days with fever, dysphagia & trismus. Had ? History of insect bite . Redness over face since 2 days. Vitals stable at present . No swelling over base of tongue Tenderness postive at submandibular region & suptramandibular region. No history of tooth ache. TLC 11400 SGPT 55 IS This a case of ?Ludwig Angina ??Siladenitis

(Edited)

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Concluded answer

Facial cellulitis

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D/d:- Acute parotitis Sialolithiasis Cellulitis due to chronic odontogenic infection Sepsis can be due to Biting of bed bug For symptomatic relief Rx:- Tab O2 twice daily for 5 days post meals Tab Chymoral Forte twice daily for 5 days post meals Tab Rablet D once daily for 5 days pre meals Tab Zerdol MR once daily for 7 days For Biting or sting...do cold compresses.... Remedies:- Apply toothpaste or cut onion Inj.adrenaline and antihistaminics Coolora mouthwash thrice daily for 15 days Rest as per Reports of sialography ,CT or Fnac C

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Given the history of insect bite and looking at the redness dental cause is ruled out. Please refer the patient to a Paediatrician and/or dermatologist. The edges of the infection are well defined. Dental space infections are more diffused.

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? DENTAL PATHOLOGY .. ? PAROTITIS ..

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DD Ludwigs angina Sialadenitis Lymphadinitis Angioneurotic edema

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Fever, redness of face and trismus are suggestive of spreading soft tissue infection It needs treatment with antibiotics and careful observation

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Partition Cellulitis

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Facial cellulitis

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Better refer to a Paediatrician... The child needs to get evaluated in detail going by the history , you have provided .

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LOOKS LIKE A/C/O PAROTITIS. D/D:- LUDWIG ANGINA/SIALADENITIS LEUCOCYTOSIS ++ RX, BS ANTIBIOTICS COVERAGE ORALLY BD TAB ACENAC-SP BD TAB CHYMORAL FORTE TID TAB METRO-200 MG BD TAB DEFCORT-6 MG BD IN TAPPERING DOSES. HEXIDIENE MOUTH GARGLES. OPINION OF DENTAL SURGEON.

THANKS & WC @Dr. Sushilkumar Sawant
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Parotidis, Measles, Bell,30 Homoeo,

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