Cervical Necrotizing Fasciitis: A case report


  • Nadia Pillay Postgraduate diploma in Oral Surgery (TUKS), 52 Burn Street , Waverly, Johannesburg, 2090 https://orcid.org/0000-0002-5441-2567
  • Gugulethu Mhlanga Maxillofacial and oral surgery specialist/ Senior lecturer at the University of Pretoria, Oral and Dental Hospital, Steve Biko and Dr Savage road, Riviera, Pretoria






Necrotizing fasciitis is a rare but rapidly progressive condition, with a high morbidity and mortality rate. This rapidly spreading soft tissue infection rarely occurs in the head and neck region, and when it does it is most caused by odontogenic origin. A variety of host
factors such as immune status, hygienic practices and socio-economic status are role players in the disease process. This case report documents a 38-year old male who presented with cervical necrotizing fasciitis of odontogenic origin. The patient was managed
and stabilized through removal of the necrotic tissue, extraction of all carious teeth, and optimization of the overall medical health status of the patient. HIV is widely prevalent in South Africa and therefore the patient consented to HIV testing, this alluded to an
undiagnosed HIV positive status.


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Author Biography

Gugulethu Mhlanga, Maxillofacial and oral surgery specialist/ Senior lecturer at the University of Pretoria, Oral and Dental Hospital, Steve Biko and Dr Savage road, Riviera, Pretoria



Descamps V, Aitken J, Lee M. Hippocrates on necrotising fasciitis. The Lancet. 1994;344(8921):556.

Green R, Dafoe D, Rajfin T. Necrotizing Fasciitis. Chest. 1996;110(1):219-229.

Gore M. Odontogenic necrotizing fasciitis: a systematic review of the literature. BMC Ear, Nose and Throat Disorders. 2018;18(1).

4. Miller L, Shaye D. Noma and Necrotizing Fasciitis of the Face and Neck. Facial Plastic Surgery. 2021;37(04):439-445.

Liu YM, Chi CY, Ho MW, Chen CM, Liao WC, Ho CM, Lin PC, Wang JH. Microbiology and factors affectingmortality in necrotizing fasciitis. J Microbiol Immunol Infect. 2005 Dec; 38(6):430-5. PMID: 16341344

Olusanya A, Gbolahan O, Aladelusi T, Akinmoladun V, Arotiba J. Clinical parameters, and challenges of managing cervicofacial necrotizing fasciitis in a Sub-Saharan tertiary hospital. Nigerian Journal of Surgery. 2015;21(2):134.

Adekanye A, Umana A, Offiong M, Mgbe R, Owughalu B, Inyama M et al. Cervical necrotizing fasciitis: management challenges in poor

resource environment. European Archives of OtoRhinoLaryngology. 2015;273(9):2779-2784.

Locke T, Keat S, Waker A Microbiology and infectious diseases on the move. 185-186

Guidelines for the use of antiretroviral agents in adults and adolescents with HIV [Internet]. Clinicalinfo.hiv.gov. 2021. Available from: https://clinicalinfo.hiv.gov/sites/default/files/guidelines/documents/AdultandAdolescentGL.pdf

Kaul R, McGeer A, Low D, Green K, Schwartz B, Simor A. Population-Based Surveillance for Group A Streptococcal Necrotizing Fasciitis: Clinical Features, Prognostic Indicators, and Microbiologic Analysis of Seventy-Seven Cases. The American Journal of Medicine. 1997;103(1):18-24.

Dhanasekara C, Marschke B, Morris E, Kahathuduwa C, Dissanaike S. Global patterns of necrotizing soft tissue infections: A systematic

review and meta-analysis. Surgery 170 (6), 1718-1726, 2021

Obiechina A, Arotiba J, Fasola A. Necrotizing fasciitis of odontogenic origin in Ibadan, Nigeria. British Journal of Oral and Maxillofacial Surgery. 2001;39(2):122-126.

Goh T, Goh L, Ang C, Wong C. Early diagnosis of necrotizing fasciitis. British Journal of Surgery. 2013;101(1):e119-e125.




How to Cite

Pillay, N., & Mhlanga, G. (2022). Cervical Necrotizing Fasciitis: A case report . South African Dental Journal, 77(09), 559–563. https://doi.org/10.17159/2519-0105/2022/v77no9a5