Necrotizing Fasciitis: Review of the Literature and Case Report

Weiss, Adam; Nelson, Peter S.; Movahed, Reza; Clarkson, Earl; Dym, Harry

doi:10.1016/j.joms.2010.11.043

Cited by 27 publications

(33 citation statements)

References 36 publications

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“…The majority of authors consider that antibiotic therapy should be started without delay, including antibiotics against gram-positive, gram-negative and anaerobic bacteria until antibiogram results are obtained, when specific therapy should be initiated. In practice, the most commonly used antibiotics are penicillins and cephalosporins in combination with aminoglycosides and Orvagil and clindamycin (14)(15)(16).…”

Section: Discussionmentioning

confidence: 99%

Necrotizing Fasciitis of the Cheek: A Case Report

Lazić¹,

Krasić²,

Trajković³

et al. 2017

Acta Facultatis Medicae Naissensis

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The term necrotizing fasciitis (NF) was first used by Wilson in 1952, who described this rare, however, progressive infection that primarily affects the fascia and subcutaneous tissues. Necrotizing fasciitis may affect any part of the body; however, it usually appears on the extremities. The most common microorganisms isolated in NF are Staphylococcus aureus, group A Streptococci, and Escherichia Coli.We are presenting the case of a sixty-seven-year old woman, who was admitted for the perforation of painful edema of the left cheek. Clinical examination of the anterior two-thirds of the left cheek revealed a defect of the full thickness of the skin, 3x4 cm in size. During the patient's hospitalization she was treated by parenterally administered broad-spectrum antibiotics, necrotomy, fasciotomy of the cheek and the extraction of the remaining roots in the 3 rd and 4 th quadrant.Necrotic fasciitis is a rare, rapidly progressive infection of soft tissues, which, if untimely diagnosed and treated, may be life-threatening. The prognosis of treatment depends on the early recognition of the disease. It is treated with aggressive surgical debridement followed by antibiotic therapy.

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Section: Discussionmentioning

confidence: 99%

Necrotizing Fasciitis of the Cheek: A Case Report

Lazić¹,

Krasić²,

Trajković³

et al. 2017

Acta Facultatis Medicae Naissensis

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“…Joseph Jones in 1871 was irst to use the term "Hospital gangrene". In 1918 Pfanner called a similar condition, caused by hemolytic streptococci "Erysipelas necroticans [5]. The irst time the term "Necrotizing fasciitis" was used was in 1952 by Wilson to describe a widespread necrosis of a super icial fascia (Wilson B) [6].…”

Section: Discussionmentioning

confidence: 99%

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2017

J Oral Health Craniofac Sci

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Necrotizing fasciitis is a quickly progressing soft tissue infection that can be described with diffuse necrosis of subcutaneous tissue and superfi cial fascia. The cause of this can be infectious process of odontogenic origin, most commonly caused by mixed gram+ and gram-, aerobic and anaerobic microorganisms that are found in patients that are predisposed to infections. In a case of undiagnosed illness, there is a possibility of life threatening complications. This case analysis introduces the diagnostic criteria of the disease and treatment plan, encouraging doctors to devote more attention to prevention of infections.

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“…1 Diabetes mellitus (DM), immunodeficiency disorders, malnutrition, smoking, alcohol consumption and advanced age are predisposing factors for NF. 2,3 Cervical NF (CNF), is a relatively uncommon but fatal 7tepeklinik condition (%1 to 10% among all NF cases) which is mostly associated with DM. [1][2][3][4] Causative factors of CNF include mainly infections of odontogenic origin 3,5 which is followed by those of salivary gland, ear, skin and tonsils.…”

Section: Introductionmentioning

confidence: 99%

“…2,3 Cervical NF (CNF), is a relatively uncommon but fatal 7tepeklinik condition (%1 to 10% among all NF cases) which is mostly associated with DM. [1][2][3][4] Causative factors of CNF include mainly infections of odontogenic origin 3,5 which is followed by those of salivary gland, ear, skin and tonsils. 5 Mortality rates of CNF have been reported as 0% to 27.6%.…”

Section: Introductionmentioning

confidence: 99%

“…2 As the treatment delays, CNF may spread along the fascial planes leading to mediastinitis, airway obstruction, septic shock and death. 2 The aim of this report is to present a rare case of CNF originating from an infected mandibular canine in a patient who has uncontrolled DM with special emphasis to the clinical characteristics of this condition.…”

Section: Introductionmentioning

confidence: 99%

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