No abstract

Cervical necrotizing fasciitis is a rare polymicrobial infection characterized by extensive, rapidly spreading necrosis of the subcutaneous tissue and superficial fascia. This paper describes a case of necrotizing fasciitis of odontogenic origin in a 55-year-old man who presented with a dental abscess associated with an impacted lower premolar after prolonged use of removable dentures. Treatment included extensive surgical debridement, systemic antibiotics, and intensive care. This case highlights the importance of proper evaluation and diagnosis before the rehabilitation of edentulous patients. A panoramic radiograph can show the presence of an impacted tooth, which must be removed before installation of a removable denture to prevent further complications like that.

No abstract

Rationale: The aim of this work is to describe the case of a large abscess associated with a sialolith in the parotid duct. Patient Concerns: Patient's concern is evident in this pathology, because infection untreated or rapidly spreading infections can be potentially life-threatening secondary to airway compromise or septicemia. Diagnosis: Clinical examination, ultrasonography of the region, and cone beam computed tomography were requested to confirm the diagnosis of a sialolith associated with a large abscess. Treatment: Antibiotic therapy with extraoral drainage was performed. After remission of the infection, the stone was located, removed, and the edges sutured. Outcomes: The patient was followed for 6 months. There was a minimal scar without any other noteworthy change. Take-away Lessons: The pathological changes involving the salivary glands are extremely important for diagnosis and treatment plan.