Spread of odontogenic infection in puerperium: A case report and review of literature

Although puerperium is associated with many physiological changes, including the risk of infection and reduced immune response, the spread of odontogenic infection is rare. We present a case of a 35-year-old homemaker who is gravida 7 para 3 with 4 days history of bilateral diffuse facial swelling postdelivery. She is markedly pale with a haemoglobin of 5.7 g/dl. There was diffuse swelling in the submandibular, submental, buccal, sub masseteric, and periorbital spaces. The patient was investigated and treated with incision and drainage, extraction of the offending tooth, intravenous antibiotics and supportive care until symptoms resolution.