Necrotizing Fasciitis of the Neck

Wang, Yao; Chen, Hsin-Chien

doi:10.1177/0145561319874017

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…In most cases, multiple episodes of debridement are necessary, potentially resulting in significant soft tissue defects. After all nonviable tissue is excised and the infection is cleared, reconstruction with soft tissue flaps may be necessary, especially in patients with massive defects [ 15 , 16 ]. The patients were managed with IV polyantibiotic therapy, analgesics, IV fluids, wound debridement and extraction of the offending teeth.…”

Section: Discussionmentioning

confidence: 99%

Cervicofacial necrotizing fasciitis after topical application of herbal medicine

Acevedo

Cervantes

Ketemepi

et al. 2021

Journal of Surgical Case Reports

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Cervical necrotizing fasciitis represents an aggressive form of deep neck space infection with a high mortality rate. The origin is generally odontogenic, in most cases, resulting from a dental abscess. A series of three cases developed after local application of herbal medicine in patients with no co-morbidities and with a history of a toothache in the lower quadrants for >2 weeks is presented. All patients were managed with antibiotics, extraction of offending tooth and serial wound debridement. Two patients recovered with a resultant skin defect on the neck and one died due to multiple organ failure. This case series demonstrated that early diagnosis, prompt surgical intervention and appropriate medical treatment are very important to increase patient survival. Late report to hospital because of financial constraints and over-reliance on herbal preparation could lead to the development of serious complication in patients with dental infections and could even lead to death of the patient.

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Section: Discussionmentioning

confidence: 99%

Cervicofacial necrotizing fasciitis after topical application of herbal medicine

Acevedo

Cervantes

Ketemepi

et al. 2021

Journal of Surgical Case Reports

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show abstract

“…CNF presents as a rapid extensive infection with cervical erythema, tenderness, crepitus, respiratory distress, and sepsis [ 11 ]. Previous studies have shown that some patients may present with concurrent DNI and CNF [ 12 , 13 ]. Therapeutic management in patients with the coexistence of these two lethal diseases is complicated.…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Patients with Concurrent Deep Neck Infection and Cervical Necrotizing Fasciitis

et al. 2022

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Deep neck infection (DNI) is a severe disease of the deep neck spaces, which has the potential for airway obstruction. Cervical necrotizing fasciitis (CNF) is a fatal infection of the diffuse soft tissues and fascia with a high mortality rate. This study investigated risk factors in patients with concurrent DNI and CNF. A total of 556 patients with DNI were included in this study between August 2016 and December 2021. Among these patients, 31 had concurrent DNI and CNF. The relevant clinical variables were assessed. In univariate analysis, age (> 60 years, odds ratio (OR) = 2.491, p = 0.014), C-reactive protein (CRP, OR = 1.007, p < 0.001), blood sugar (OR = 1.007, p < 0.001), and diabetes mellitus (DM, OR = 4.017, p < 0.001) were significant risk factors for concurrent DNI and CNF. In multivariate analysis, CRP (OR = 1.006, p < 0.001) and blood sugar (OR = 1.006, p = 0.002) were independent risk factors in patients with concurrent DNI and CNF. There were significant differences in the length of hospital stay and therapeutic management (intubation, tracheostomy, incision and drainage) between DNI patients with and without CNF (all p < 0.05). While there were no differences in pathogens between the DNI alone and concurrent DNI and CNF groups (all p > 0.05), the rate of specific pathogen non-growth from blood cultures was 16.95% (89/525) in the DNI alone group, in contrast to 0% (0/31) in the concurrent DNI and CNF group (p = 0.008). Higher CRP and blood sugar levels were independent risk factors for the concurrence of DNI and CNF. With regard to prognosis, there were significant differences in the length of hospital stay and therapeutic management between the groups with and without CNF. While there were no significant differences in pathogens (all p > 0.05), no cases in the concurrent DNI and CNF group showed specific pathogen non-growth, in contrast to 89/525 patients in the group with DNI alone.

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“…Treatment for deep neck infection mainly consists of antibiotic administration and surgical drainage with postoperative wound irrigation [ 3 ]. Postoperative irrigation should be performed every 4–8 hours by doctors according to disease severity, which imposes additional physical and time-related burdens on medical staff [ [4] , [5] , [6] ]. Herein, we present a case in which an innovative continuous-irrigation approach was applied for wound care following surgery for deep neck infection.…”

Section: Introductionmentioning

confidence: 99%

Innovative continuous-irrigation approach for wound care after deep neck infection surgery: A case report

Ding

Lee

Wang

et al. 2021

International Journal of Surgery Case Reports

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Highlights Deep neck infection is a life-threatening disease that invades deep neck space. Treatment for deep neck infection consists of antibiotics and surgical drainage with manually postoperative wound irrigation. The authors present a case in which an innovative continuous-irrigation approach was applied for wound care. This approach is an alternative approach for wound care in patients with deep neck infection.

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Necrotizing Fasciitis of the Neck

Cited by 4 publications

References 3 publications

Cervicofacial necrotizing fasciitis after topical application of herbal medicine

Cervicofacial necrotizing fasciitis after topical application of herbal medicine

Factors Affecting Patients with Concurrent Deep Neck Infection and Cervical Necrotizing Fasciitis

Innovative continuous-irrigation approach for wound care after deep neck infection surgery: A case report

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