Cervical necrotizing fasciitis of odontogenic origin: Case report

Ramos Chrcanovic; Neto Custódio

doi:10.2298/sgs0904194c

Cervical necrotizing fasciitis of odontogenic origin: Case report

Stomatoloski glasnik Srbije ◽

10.2298/sgs0904194c ◽

2009 ◽

Vol 56 (4) ◽

pp. 194-200 ◽

Cited By ~ 1

Author(s):

Ramos Chrcanovic ◽

Neto Custódio

Keyword(s):

Case Report ◽

Necrotizing Fasciitis ◽

Lupus Erythematosus ◽

Subcutaneous Tissue ◽

Superficial Fascia ◽

Mandibular Molar ◽

Odontogenic Origin ◽

Mortality Case ◽

History Of ◽

Patient’S History

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.

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Concurrent Pseudomonas Periorbital Necrotizing Fasciitis and Endophthalmitis: A Case Report and Literature Review

Pathogens ◽

10.3390/pathogens10070854 ◽

2021 ◽

Vol 10 (7) ◽

pp. 854

Author(s):

Yu-Kuei Lee ◽

Chun-Chieh Lai

Keyword(s):

Soft Tissue ◽

Literature Review ◽

Necrotizing Fasciitis ◽

Subcutaneous Tissue ◽

Superficial Fascia ◽

Upper Eyelid ◽

Case Presentation ◽

Phthisis Bulbi ◽

Eyelid Swelling ◽

The Rich

(1) Background: Necrotizing fasciitis (NF) is an infection involving the superficial fascia and subcutaneous tissue. Endophthalmitis is an infection within the ocular ball. Herein we report a rare case of concurrent periorbital NF and endophthalmitis, caused by Pseudomonas aeruginosa (PA). We also conducted a literature review related to periorbital PA skin and soft-tissue infections. (2) Case presentation: A 62-year-old male had left upper eyelid swelling and redness; orbital cellulitis was diagnosed. During eyelid debridement, NF with the involvement of the upper Müller’s muscle and levator muscle was noted. The infection soon progressed to scleral ulcers and endophthalmitis. The eye developed phthisis bulbi, despite treatment with intravitreal antibiotics. (3) Conclusions: Immunocompromised individuals are more likely than immunocompetent hosts to be infected by PA. Although periorbital NF is uncommon due to the rich blood supply in the area, the possibility of PA infection should be considered in concurrent periorbital soft-tissue infection and endophthalmitis.

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Noma and Necrotizing Fasciitis of the Face and Neck

Facial Plastic Surgery ◽

10.1055/s-0041-1722894 ◽

2021 ◽

Author(s):

Lauren E. Miller ◽

David A. Shaye

Keyword(s):

Soft Tissue ◽

Necrotizing Fasciitis ◽

Head And Neck ◽

Subcutaneous Tissue ◽

Neck Region ◽

Superficial Fascia ◽

Soft Tissue Infections ◽

Head And Neck Region ◽

Necrotizing Soft Tissue Infections ◽

The Face

AbstractNecrotizing fasciitis (NF) is part of the class of necrotizing soft tissue infections characterized by rapid fascial spread and necrosis of the skin, subcutaneous tissue, and superficial fascia. If left untreated, NF can rapidly deteriorate into multiorgan shock and systemic failure. NF most commonly infects the trunk and lower extremities, although it can sometimes present in the head and neck region. This review provides an overview of NF as it relates specifically to the head and neck region, including its associated clinical features and options for treatment. Noma, a related but relatively unknown disease, is then described along with its relationship with severe poverty.

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An Early Unexpected Immune Thrombotic Thrombocytopenic Purpura Relapse Associated with SARS-CoV-2 Infection: A Case Report and Literature Review

Acta Haematologica ◽

10.1159/000514283 ◽

2021 ◽

pp. 1-5

Author(s):

Maya Kornowski Cohen ◽

Liron Sheena ◽

Yair Shafir ◽

Vered Yahalom ◽

Anat Gafter-Gvili ◽

...

Keyword(s):

Systemic Lupus Erythematosus ◽

Case Report ◽

Thrombotic Thrombocytopenic Purpura ◽

Lupus Erythematosus ◽

Response To Therapy ◽

Intravascular Hemolysis ◽

Systemic Lupus ◽

Thrombocytopenic Purpura ◽

History Of ◽

Triggering Factor

SARS-CoV-2 has been reported as a possible triggering factor for the development of several autoimmune diseases and inflammatory dysregulation. Here, we present a case report of a woman with a history of systemic lupus erythematosus and antiphospholipid syndrome, presenting with concurrent COVID-19 infection and immune thrombotic thrombocytopenic purpura (TTP). The patient was treated with plasma exchange, steroids, and caplacizumab with initial good response to therapy. The course of both TTP and COVID-19 disease was mild. However, after ADAMTS-13 activity was normalized, the patient experienced an early unexpected TTP relapse manifested by intravascular hemolysis with stable platelet counts requiring further treatment. Only 3 cases of COVID-19 associated TTP were reported in the literature thus far. We summarize the literature and suggest that COVID-19 could act as a trigger for TTP, with good outcomes if recognized and treated early.

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Subcutaneous Emphysema Secondary to Tonsillectomy

Otorhinolaryngology Clinics - An International Journal ◽

10.5005/jp-journals-10003-1194 ◽

2015 ◽

Vol 7 (2) ◽

pp. 78-80

Author(s):

Vivek Sasindran ◽

Vijay Stephen ◽

Lakshana Deve

Keyword(s):

Case Report ◽

Surgical Procedures ◽

Subcutaneous Emphysema ◽

Subcutaneous Tissue ◽

Rare Complication ◽

Tension Pneumothorax ◽

Tonsillar Fossa ◽

Superior Constrictor ◽

History Of ◽

Fatal Complications

ABSTRACT Background Tonsillectomy is one of the most common surgical procedures performed worldwide. However, it can potentially be associated with several complications. One of the very rare complications post-tonsillectomy in adults is subcutaneous emphysema, as in our case here. Although, most reported cases are resolved spontaneously, it may lead to fatal complications, like tension pneumothorax. Case report Tonsillectomy was performed on an adult patient with history of frequent tonsillitis. The patient developed facial subcutaneous emphysema 48 hours after the surgery (evident by clinical and radiological examination) that resolved within 2 days without further complications. Conclusion Tonsil should be removed along with tonsilar capsule. If tonsillectomy causes deeper than usual mucosal tear up to the level of the muscles, then air might pass into the subcutaneous tissue through the tonsillar fossa and superior constrictor muscle into fascial layers of neck. Emphysema can then spread to parapharyngeal, retropharyngeal spaces and mediastinum with its related morbidity. Though a rare complication, all otorhinolaryngologists must be aware of this complication and its management. How to cite this article Abraham SS, Stephen V, Deve L, Kurien M. Subcutaneous Emphysema Secondary to Tonsillectomy. Int J Otorhinolaryngol Clin 2015;7(2):78-80.

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Necrotizing Fasciitis by Two Anaerobic Bacteria in an Immunocompetent Patient after Minor Trauma: A Case Report

Case Reports in Infectious Diseases ◽

10.1155/2018/4910292 ◽

2018 ◽

Vol 2018 ◽

pp. 1-4

Author(s):

Marco Sciarra ◽

Andrea Schimmenti ◽

Tommaso Manciulli ◽

Cristina Sarda ◽

Marco Mussa ◽

...

Keyword(s):

Case Report ◽

Soft Tissue ◽

Necrotizing Fasciitis ◽

Rare Case ◽

Subcutaneous Tissue ◽

Anaerobic Bacteria ◽

Immunocompetent Patient ◽

Minor Trauma ◽

Group A Streptococci ◽

Group A

Necrotizing fasciitis (NF) is a soft tissue infection affecting subcutaneous tissue and the muscular fascia without involvement of the muscle and can be either monomicrobial or polymicrobial. Monomicrobial infections are usually caused by group A streptococci, while infections caused by anaerobic germs usually affect immunodepressed patients. We report a rare case of NF caused by two anaerobic bacteria in an immunocompetent patient.

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Physical Medicine and Rehabilitation Role in Pre-Operative Management of Patient with Giant Bullae of Right Lung with Scoliosis and a History of Systemic Lupus Erythematosus: A Case Report

Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association ◽

10.5220/0009087501720176 ◽

2019 ◽

Author(s):

Andreas Ricky ◽

Tresia Fransiska U Tambunan

Keyword(s):

Systemic Lupus Erythematosus ◽

Case Report ◽

Lupus Erythematosus ◽

Operative Management ◽

Physical Medicine ◽

Systemic Lupus ◽

Physical Medicine And Rehabilitation ◽

History Of ◽

Giant Bullae

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Anaesthetic Management of a Patient with Necrotizing Fasciitis: A Case Report

International Journal of Science and Healthcare Research ◽

10.52403/ijshr.20210706 ◽

2021 ◽

Vol 6 (3) ◽

pp. 31-34

Author(s):

Shallu Chaudhary ◽

Major Amit Atwal

Keyword(s):

Mechanical Ventilation ◽

Severe Sepsis ◽

Case Report ◽

Soft Tissue ◽

Necrotizing Fasciitis ◽

Tissue Injury ◽

Subcutaneous Tissue ◽

Soft Tissue Injury ◽

Anaesthetic Management ◽

Left Shoulder

Necrotizing fasciitis is a highly lethal bacterial infection of subcutaneous tissue and fascia. 77 year old male patient, smoker with necrotizing fasciitis underwent surgery:- left shoulder disarticulation in emergency OT under general anesthesia. Intraoperatively, the patient went into severe sepsis and developed arrythmias and hypotension which was managed with anti-arrythmic drugs and infusion norepinephrine. The patient responded to the treatment and the surgery was completed. Postoperatively mechanical ventilation was continued and subsequently the patient improved and was extubated 3 days later. Keywords: Necrotizing fasciitis, necrotizing acute soft tissue injury, NASTI.

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Necrotizing Fasciitis in Neonate and Use of Allograft

Journal of Neonatal Surgery ◽

10.47338/jns.v8.342 ◽

2019 ◽

Vol 8 (1) ◽

pp. 8

Author(s):

Nitinkumar Borkar ◽

Phalguni Padhi ◽

Jiten Kumar Mishra ◽

Shamendra Anand Sahu ◽

Debajyoti Mohanty ◽

...

Keyword(s):

Early Diagnosis ◽

Necrotizing Fasciitis ◽

Skin Graft ◽

Subcutaneous Tissue ◽

Donor Site ◽

Subcutaneous Fat ◽

Surgical Debridement ◽

Split Thickness Skin Graft ◽

Superficial Fascia ◽

Thickness Skin

Necrotising fasciitis is a fulminant and rapidly progressive infection of the superficial fascia and subcutaneous tissue. It is rare in newborn. Trunk is the commonest site of involvement in newborns. Early diagnosis and prompt surgical debridement is the preferred treatment. Debridement in NF leads to a large raw area which may not heal by primary intention and may a split thickness skin graft for healing. Presence of minimum subcutaneous fat, loose skin and large raw area at donor site like back in some neonate poses difficulty for harvesting of skin graft. In such neonates allograft make a valuable option temporarily. Herein we report a case of a neonate with NF in whom post debridement raw area was covered with allograft from mother.

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