Cervical necrotizing fasciitis is a fast spreading acute soft tissue inflammation. Death can occur within 12–24 h. Early identification and treatment is needed. Citation: Lambade PN, Dolas RS, Virani N, Lambade DP () Cervicofacial Necrotising Fasciitis of Odontogenic Origin: A Review. Necrotizing fascitis is rapidly spreading soft tissue infection involving the subcutaneous tissues. Cervicofacial necrotizing fasciitis (CNF) is rare complication from.

Author: Mauzilkree Grodal
Country: Senegal
Language: English (Spanish)
Genre: Technology
Published (Last): 14 September 2007
Pages: 285
PDF File Size: 13.80 Mb
ePub File Size: 4.92 Mb
ISBN: 471-2-12124-653-7
Downloads: 39209
Price: Free* [*Free Regsitration Required]
Uploader: Midal

Jpn J Oral Maxillofac Surg. Sign in to customize your interests Sign in to your personal account. Myonecrotic infections caused by these clostridial species necgotizing occur in injecting heroin users. The very first symptom of NF. Create a free personal account to make a comment, download free article PDFs, sign up for alerts and more.

Immediate fasciiitis exploration is indicated in the presence of subcutaneous emphysema, obvious fluctuance, skin necrosis in an area of cellulitis, or rapidly advancing infection despite 24 to 48 h of medical therapy. Our finding was similar to that seen in a series by Qazi et al.

Adhesive capsulitis of shoulder Impingement syndrome Rotator cuff tear Golfer’s elbow Tennis elbow. Some skin over the face and neck underwent necrosis, with the formation of a yellowish slough and discharge of pus externally and intraorally. Cervicofacisl some cases when an extremity is affected by a NSTI, amputation may be the surgical treatment of choice.

Author information Article notes Copyright and License information Disclaimer. Abstract Necrotizing fasciitis NF of the face and neck is a very rare complication of dental infection.

There was a problem providing the content you requested

Otolaryngologists and dentists should be familiar with this condition because of its similarity to odontogenic deep neck space infection in the initial stages, its rapid spread, and its life-threatening potential. Fatal necrotizing fasciitis of dental origin.

Types of soft-tissue necrotizing infection can be divided into four classes according to the types of bacteria infecting the soft tissue. Subsequent cultures were more variable and showed predominantly gram-negative organisms and methicillin-resistant S aureus.


The patient was addicted to alcohol and was a chronic smoker. He was discharged in a stable condition and is presently doing well [ Figure 6 ]. The areas of debridement had to be extended on the following days as the zones of involvement and necrosis were seen to increase [ Figure 4 ].

Within the genus, most of the species of clinical significance belong to the genetically closely related genomic species 2 y Acinetobacter baumannii3, and 13 sensu Tjernberg and Ursing 13TU.

Cervical necrotizing fasciitis of odontogenic origin: Necrotizing fasciitis affects 0. Ligamentopathy Ligamentous laxity Hypermobility. A Rare Disease, Cerviccofacial for the Healthy”.

Trauma is the usual cause of the infection such as intravenous drug injection, insulin injection, animals and insect bites, catheter insertion over the skin, or a fistula connecting skin to the internal body organs. For infection of the perineum and genitals Fournier gangrenetrauma, surgery, urinary tract infectionstones, and Bartholin gland abscess are the usual necrotizijg.

ANZ Journal of Surgery. The eyelids, scalp, face, and neck are only rarely involved and only a few cases have been reported in the head and neck region. The facial swelling first appeared on the left side and then, on the same day, on the right side. Early symptoms of necrotizing fasciitis. No clear difference between using IVIG and placebo has been shown in the treatment of NSTIs, and one study showed serious adverse effects with IVIG use, including acute kidney injury, allergic reactions, aseptic meningitis syndrome, haemolytic anaemia, thrombi, and transmissible agents.

Based on symptoms, medical imaging [4]. Bacteriologic examination in NF usually reveals anaerobes, gram-negative rods, group A beta-hemolytic streptococci, and staphylococcus species. Aggressive wound debridement should be performed early, usually as soon as the diagnosis of necrotizing soft tissue infection NSTI is made.

Spreading of infection through blood has been suggested for those with streptococcal pharyngitis. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


J Oral Maxillofac Surg. Therefore, regular dressing changes with a fecal management system can help to keep the wound at the perineal area clean. Sudden, spreads rapidly [3]. In this paper, we describe the presentation and treatment of a year-old man who developed NF of the face and neck following bilateral odontogenic deep neck space abscesses. Annals of Emergency Medicine. Necrotizing fasciitis Synonyms Flesh-eating bacteria, flesh-eating bacteria syndrome, [1] necrotizing soft tissue infection NSTI[2] fasciitis necroticans Person with necrotizing fasciitis.

The skin showed changes that ranged from erythema and patchy areas of bluish discoloration to frank necrosis and sloughing with oozing of pus.

Minor trauma triggering cervicofacial necrotizing fasciitis from odontogenic abscess

Wound carehandwashing [3]. Type III infection – Vibrio vulnificusa bacterium found in saltwateris a rare cause of this infection, which occurs through a break in the skin.

The time delay in performing imaging is a major concern. One study assessed the efficacy of a new type of treatment that affects the immune response, called AB This paper also shows the importance of early diagnosis and multiple surgical debridements, which should be undertaken regardless of the extent of cosmetic deformity, in the management of this condition. Craniocervical necrotizing fasciitis secondary to parotid gland abscess. Please review our privacy policy. However, this is the only case of NF in the cervicofacial region that we were able to locate from the records of the last decade.

Could common anti-inflammatory drugs allow bacteria to take a deadly turn? Could it be that trivial trauma inflicted by the patient, or by the surgeon in form of tooth extraction in patients with dental infections, is the real trigger but is usually dismissed cervucofacial coincidental? His hemoglobin was 7. Purchase access Subscribe now.

Clostridium perfringens produces two deadly toxins: It uses six laboratory values:

Author: admin