According to information from relatives, the patient started to feel pain in the right lower jaw 20 days ago. Despite self-treatment with painkillers and antibiotics at home, the condition did not improve. After that, the patient's right lower jaw area suffered widespread swelling and pain. Only when the abscess caused the airway to be compressed was the patient admitted to the hospital.
At the Department of Internal Medicine and Anti-Poison Resuscitation (108 Central Military Hospital), the patient quickly fell into a state of septic shock, causing multiple organ damage: sleep apnea, severe decreased blood pressure, inactivity, and severe metabolic acidosis.
In critical condition, the patient was given an endotracheal tube, used strong antibiotics, high-dose vasopressors, epidemics, antibiotics and continuous blood filtration. At the same time, a multidisciplinary consultation was held, including doctors from the hospital's surgery department, the anesthesia and resuscitation department, and the facial plastic surgery department. Within just one hour, the patient underwent a cataract and drainage surgery to drain the abscesses and remove teeth deep into the infirmary to avoid dangerous movements to the operating room due to the serious condition.
Dr. Pham Dang Hai, Head of the Department of Internal Medicine Resuscitation and Anti-Poison, said: Shopping in the jaw area without timely intervention can lead to septic shock, threatening life. This is a very serious case, due to the patient being old and having many underlying diseases such as high blood pressure and type 2 diabetes. Late treatment due to subjective patients is the main cause of serious condition. If not operated on early and treated properly, the patient could die."
On-site interdisciplinary coordination saved the patient's life through the dangerous stage. After three days of treatment, the patient overcame the shock, had a capillary amputation and is currently receiving treatment at the Department of Internal Resuscitation and Anti-Poison.
