Craniocervical necrotizing fasciitis with and without thoracic extension: management strategies and outcome

Mao, Johnny C.; Carron, Michael A.; Fountain, Kimberly R.; Stachler, Robert J.; Yoo, George H.; Mathog, Robert H.; Coticchia, James M.

doi:10.1016/j.amjoto.2007.12.007

Cited by 34 publications

(35 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Its most common factor is Streptococcals. Anaerobic pathogens were identified in 30% of patients [6,7]. Streptococcal spp formed in the culture of our case.…”

Section: Discussionmentioning

confidence: 54%

See 1 more Smart Citation

Life-Threatening Necrotizing Fasciitis of the Neck: A Case Report

Iynen

2011

J Curr Surg

View full text Add to dashboard Cite

Necrotizing fasciitis is a rare, progressive and life-threatening bacterial infection which spreads with frightening speed along the fascial planes and subcutaneous tissue resulting in extensive tissue necrosis and often death. Rapidly spreading necrosis often causes systemic sepsis, toxic shock syndrome and multiorgan failure. Necrotizing fasciitis of the neck is rare and commonly has a dental or pharyngeal origin. Factors affecting the success of the treatment of necrotizing fasciitis are early diagnosis, appropriate antibiotics and surgical debridement. This article is presented in a patient with necrotizing fasciitis of the neck originated from odontogenic infection. Clinical features, pathogenesis and treatment of the case are discussed with the literature.

show abstract

“…Its most common factor is Streptococcals. Anaerobic pathogens were identified in 30% of patients [6,7]. Streptococcal spp formed in the culture of our case.…”

Section: Discussionmentioning

confidence: 54%

“…In general, hypocalcemia is seen in patients during the disease, as fatty acids, formed during subcutaneous fat necrosis, combine with calcium to form soap. Hyperbaric oxygen and intravenous immune globulin treatment decreases the mortality rate [6,7,10].…”

Section: Discussionmentioning

confidence: 99%

Life-Threatening Necrotizing Fasciitis of the Neck: A Case Report

Iynen

2011

J Curr Surg

View full text Add to dashboard Cite

show abstract

“…When necrotizing infections involve the head and neck, it is termed craniocervical necrotizing fasciitis (CCNF) and is associated with significant morbidity and mortality usually due to septic shock, disseminated intravascular coagulation (DIC), and organ failure [3]. In the prehyperbaric oxygen (pre-HBO) era, standard of care included early recognition of the disease, aggressive antibiotic treatment, and repetitive surgical debridement [3]. The clinical manifestations usually begin rather quiescently; the affected area becomes swollen and erythematous, and the patient has a low-grade fever.…”

Section: Discussionmentioning

confidence: 99%

Surgical Management of Necrotizing Fasciitis Due to Odontogenic Infection with Sepsis : Case Report

Nugroho¹

2017

JDHODT

View full text Add to dashboard Cite

Necrotizing fasciitis in the face region is a rare case. This infection often occurs in patients who are chronically debilitated or with history of diabetes mellitus. We report a 51-year-old woman with necrotizing fasciitis due to odontogenic infection extended to the face and submandibular space. In this case an odontogenic infection was accompanied by a large open wound on the face and sepsis. Patient was hospitalized in the Dr Hasan Sadikin General Hospital. Management of this patient in the emergency room were administration of appropriate broadspectrum empiric antibiotic, incision and pus drainage, and extraction of the infected tooth, followed by fluid resuscitation with strict observation. Surgical debridement was then performed. After being treated for 12 days the patient's condition improved. We planned closure of defects of the facial area, but the patient refused.

show abstract

“…Initial antibiotherapy should be covered combination of aerobic gram-positive and gram-negative organisms and anaerobes such as a combination of penicillin, aminoglycoside (if renal function permits), and clindamycin. Hyperbaric oxygen treatment and high-dose polyspecific intravenous immunoglobulin, along with antimicrobials and a surgical approach are other treatment options [20]. We sent all of the patients to operation room for cervicofacial exploration and debridement promptly.…”

Section: Accepted Manuscriptmentioning

confidence: 99%