DOI: 10.36347/sjams.2023.v11i12.009

Pages: 2043-2048

Diffuse cervico-facial cellulitis is very common and constitutes a real public health problem in sub-Saharan Africa. They are serious and fatal. The objective of our study was to describe the epidemiology of complications of cervico-facial cellulitis of dental origin at the Sominé Dolo Hospital in Mopti from 2021-2022. We conducted a descriptive cross-sectional study from 2021-2022 on cases of complications of cervico-facial cellulitis of dental origin which were seen in maxillofacial surgery consultation at the Sominé Dolo hospital in Mopti. This hospital is located in Sevaré and is the largest reference center in the 5th region of Mali. During the study period we collected 12 cases of complications of cervico-facial cellulitis out of a total of 33 cellulitis recorded, i.e. a frequency of 36.36%. The average age was 31.83 years. The male gender represented 75% (9 cases), and the sex ratio was 3. Patients who came from rural areas represented 83% of cases and those from urban areas represented 17%. The average consultation time was 21 days. The favoring factors found were: traditional treatment (100%), delay in consultation (100%), use of NSAIDs (33%), HIV immunosuppression (8%), diabetes (8%). The complications found were: purulent pleurisy (33%), loss of skin substance (17%), brain abscess (8.3%), facial venous thrombophlebitis (8.3%), hemoptysis (8 .3%), osteitis of the sternum (8.3%), mediastinitis (8.3%), retroperitoneal abdominal effusion (8.3%). The cytobacteriological examination (ECB) of the pus came back sterile in 42% of cases. The mortality rate was 16.66% (2 cases).