Cervical necrotizing fasciitis of odontogenic origin involving the temporal region – A case report

2011 ◽  
Vol 39 (8) ◽  
pp. 570-573 ◽  
Author(s):  
Guido Lorenzini ◽  
Maria Picciotti ◽  
Luca Di Vece ◽  
Emanuela Pepponi ◽  
Leopoldo Brindisi ◽  
...  
2014 ◽  
Vol 38 (2) ◽  
pp. 143-146
Author(s):  
Adem Özkan ◽  
Sadık Şentürk ◽  
Adem Topkara ◽  
Zekeriya Tosun

2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Manish Tiwari ◽  
Vikas Meshram ◽  
Pravin Lambade ◽  
Gabriela Fernandes

2009 ◽  
Vol 56 (4) ◽  
pp. 194-200 ◽  
Author(s):  
Ramos Chrcanovic ◽  
Neto Custódio

Introduction. Necrotizing fasciitis is a rapidly spreading soft tissue polymicrobial infection characterized by necrosis of the subcutaneous tissue and superficial fascia. When its origin is an odontogenic infection, most cases resulted from an abscessed mandibular molar. The most common significant medical conditions in the patient's history are diabetes, immunodeficiency and substance abuse, between others. Left unchecked this infection invariably leads to systemic toxicity, multi-system organ failure and eventual death. Aggressive and frequent debridement with proper antibiotic and supportive care are essential for limiting morbidity and mortality. Case Report. A case of cervical necrotizing fasciitis involving Streptococcus pyogenes (group A) and Staphylococcus aureus in a 23-year-old woman with history of systemic lupus erythematosus is described. She was taking 20 mg/day prednisolone for 8 months and had a deeply carious tooth. Conclusion. This case shows what tooth decay may cause in immunologically compromised person. The professional should be aware of the early endodontic treatment importance, because when left unchecked, it might lead to an infection of the deep spaces of face and neck, or to cervical necrotizing fasciitis in patients with certain risk factors.


POCUS Journal ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 13-14
Author(s):  
Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽  
Maryam Al Ali, MBBS

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.


2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Jessica Fozard ◽  
Krystle Shafer ◽  
Thompson Kehrl

Author(s):  
Hisako Hara ◽  
Makoto Mihara ◽  
Takeshi Todokoro

Lymphedema is a chronic edema that sometimes occurs after treatment of gynecologic cancer, and cellulitis often occurs concomitantly with lymphedema. On the other hand, necrotizing fasciitis (NF) is a relatively rare, but life-threatening disease. The symptoms in cellulitis and NF are very similar. In this case report, we describe a case in which the diagnosis of NF in a lymphedematous limb was difficult. A 70-year-old woman had secondary lymphedema in bilateral legs and consulted our department. On the first day of lymphedema therapy, the patient complained of vomiting, diarrhea, and fever (37.7 °C) without local fever in the legs. She was diagnosed with acute gastroenteritis. On the next day, swelling and pain in her left leg occurred and her blood pressure was 59/44 mmHg. She was diagnosed with cellulitis accompanied by lower limb lymphedema and septic shock. On the second day, blisters appeared on the left leg, and computed tomography showed NF. We performed debridement under general anesthesia and her vital signs improved postoperatively. Streptococcus agalactiae (B) was detected in blood culture, and we administered bixillin and clindamycin. Postoperatively, necrosis in the skin and fat around the left ankle gradually spread, and it took 5 months to complete epithelialization. The diagnosis was more difficult than usual NF because patients with lymphedema often experience cellulitis. Clinicians should always think of NF to avoid mortality due to delayed treatment. This case report was approved by the institutional ethics committee.


2001 ◽  
Vol 39 (2) ◽  
pp. 122-126 ◽  
Author(s):  
A.E. Obiechina ◽  
J.T. Arotiba ◽  
A.O. Fasola

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