Cervical Necrotizing Fasciitis: A case report
DOI:
https://doi.org/10.17159/2519-0105/2022/v77no9a5Keywords:
necrotizingAbstract
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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References
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.
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