Resumo

BIGHETTI TONIOLLO, Marcelo; SAYURI SILVEIRA DIAS TERADA, Andrea  e  MELCHIOR JUNIOR, Enzo. Facial cellulitis in lower lip caused by inflamed acne: case report. RFO UPF [online]. 2016, vol.21, n.3, pp. 369-373. ISSN 1413-4012.

Introduction: facial cellulitis is the diffusion of inflammatory process by subcutaneous planes in soft tissues; its etiology potentially comes from several factors and the odontogenic origin is the one most commonly found. However, facial cellulitis may also be related to less common causes, such as infectious processes from non-odontogenic origin. Objective: the present case report clarifies the beginning of an infectious process generated by inflamed acne lesions on the lower lip border, which was the gateway to bacteria, producing the diffusion of inflammatory process to subcutaneous planes and originating facial cellulitis. Case report: because there is no specific causal agent such as those produced by odontogenic causes, the treatment with broad-spectrum antibiotic therapy has been established, associated with meticulous hygiene and heat therapy to induce spontaneous abscessation. Specific laboratory tests were also requested for higher safety and accurate diagnosis of the professional. The evolution of the case occurred in the course of 8 days, quickly and acutely, especially in the first 5 days. Final considerations: as reported in the case, the intimate interaction between the dentist and the physician, and the presence of interdisciplinarity were fundamental factors in the treatment as a whole to solve the case satisfactorily, considering the occurrence of facial cellulitis in such areas are not usually witnessed.

Palavras-chave : Facial cellulitis; Drainage; Infection; Lower lip.