Phlegmon

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Phlegmon is a spreading diffuse inflammatory process with formation of suppurative/purulent exudate or pus.

Factors affecting the development of phlegmons are virulence of bacteria and human’s immunity strength defenses.

Phlegmon is commonly caused by bacteria – staphylococci, streptococci, pneumococci, spore and non-spore forming anaerobes, etc.

Systemic features of infection like increased body temperature (up to 38-40°C), general fatigue, chills, sweatings, headache, and loss of appetite may be present.

Inflammatory signs – dolor (localized pain), calor (increase local tissue temperature), rubor (skin redness/hyperemia), tumor (either clear or non-clear bordered tissue swelling), functio laesa (diminish affected function) may be present. Severity of patient condition with phlegmons is directly proportional to the degree of intoxication level i.e the severe the condition, the higher degree of intoxication level.

The main goal of treatment is to remove the cause of phlegmonous process in order to achieve effective treatment and prevention of recurrence. If patients condition is mild and the signs of inflammatory process is presence without signs of infiltrates, then conservative treatment with antibiotics is sufficient.

The main goal of treatment is to remove the cause of phlegmonous process in order to achieve effective treatment and prevention of recurrence. If patients condition is mild and the signs of inflammatory process is presence without signs of infiltrates, then conservative treatment with antibiotics is sufficient.

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

1. Acute
2. Subacute

1. Mild
2. Average
3. Severe (with spreading to other location(s))

1. Superficial

• Cutaneous
• Subcutaneous
• Interstitial tissue
• Intramuscular

1. Deep

• Mediastinal
• Retroperitoneal

1. Single
2. Mixed (eg:spore and non-spore forming anaerobes)

1. Per continuitatem (through neighbouring tissues)
2. Hematogenous (through non-valvular veins like venous plexus of face eg: v. pterygoideus plexus → inflamation of veins (phlebitis) → thrombus formation in veins → embolization of thrombus into sinus venousus systems)
3. Odontogenous

1. Purulent phlegmon
2. Purulent-hemorrhagic phlegmon
3. Putrefactive phlegmon

1. With complications (disturbance of mastication, ingestion, speech, cardiovascular and respiratory system, peritonitis, lymphadenitis, loss of conscious if very severe, etc)
2. Without complication

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Factors affecting the development of phlegmons are virulence of bacteria and human’s immunity strength defenses.

Template:WH Template:WS

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Please help WikiDoc by adding more content here. It’s easy! Click here to learn about editing.

Phlegmon is commonly caused by bacteria – staphylococci, streptococci, pneumococci, spore and non-spore forming anaerobes, etc.

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Please help WikiDoc by adding content here. It’s easy! Click here to learn about editing.

Template:WH Template:WS

Please help WikiDoc by adding content here. It’s easy! Click here to learn about editing.

Template:WH Template:WS

Please help WikiDoc by adding content here. It’s easy! Click here to learn about editing.

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Please help WikiDoc by adding content here. It’s easy! Click here to learn about editing.

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