Retrospective evaluation of necrotizing fasciitis in university college hospital, Ibadan

Obimakinde, OS; Vn, Okoje; Akinmoladun, VI; Ao, Fasola; Arotiba, JT

doi:10.4103/1119-3077.100644

Cited by 9 publications

(15 citation statements)

References 13 publications

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“…[ 1 3 ] Local literature suggests an increase in clinical incidence at an annual rate of 0.4 cases in 2001, 0.5 cases in 2002 and 3 cases in 2007. [ 11 12 15 ] This gradual increase is also reflected in this present study.…”

Section: Discussionsupporting

confidence: 87%

“…This increased number of cases may be a reflection of this study being a prospective one as opposed to the retrospective analysis of the previous cases. [ 11 12 15 ] None of the previous local studies included children. The reason for this is not known to the authors.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, despite the involvement of children in this study the mean age of patients is still in the 5 th decade of life as comparable to previous studies. [ 11 12 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 11 12 ] When the infection is secondary to odontogenic origin, the mandibular teeth were the most affected. [ 11 12 ] Other sources such as peritonsillar abscess, tonsillitis, salivary gland infections, ear infection, insect stings, toothpick injury, injury from stingray, intravenous access, burns, surgical procedures, radiotherapy, steroid neck injections have been documented. [ 2 3 16 17 ] However, the source is unknown in about 5% of reported cases.…”

Section: Discussionmentioning

confidence: 99%

“…Previous reports of this infection in socioeconomically challenged society like ours, are retrospective in nature and details such as the extent of wound defect, whether management was done on in-patient or out-patient basis, duration of hospital admission and the nature of complications encountered and not just the mortality rate are lacking. [ 11 12 ] This study aimed at prospectively documenting the presentation, management, challenges, and outcome of management of CNF in our institution.…”

Section: Introductionmentioning

confidence: 99%

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Clinical parameters and challenges of managing cervicofacial necrotizing fasciitis in a Sub-Saharan tertiary hospital

et al. 2015

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Introduction:Necrotizing fasciitis is a severe soft tissue infection. In our environment, patients presenting with this infection are usually financially incapacitated and, therefore, their management can be challenging. This paper aimed to document the pattern and challenges encountered in the management of cervicofacial necrotizing fasciitis (CNF) in the University College Hospital, Ibadan.Materials and Methods:Information such as biodata, site of infection, systemic conditions, widest span of defect, management provided, hospital stay, and outcome of management was prospectively collected on all patients with CNF who presented at the Department of Oral and Maxillofacial Surgery between January 2007 and December 2013. The patients were managed according to a devised protocol of antibiotic therapy, serial debridement and honey dressings.Results:Twenty-four cases of CNF were seen. There were 9 males and 15 females while 70.9% of the patients belonged to the low socioeconomic class. The mean span of wound defect was 12.2 (±8.844) cm. The mean hospital stay was 27.8 (±23.1) days, and scar formation was the most common complication encountered.Conclusion:Our study represents the largest series of CNF from a Nigerian health facility presently. The management of necrotizing fascitis in the maxillofacial region poses a significant challenge to both the surgeon and the patient. However, the mortality rate of CNF in our center appears comparatively low.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, despite the involvement of children in this study the mean age of patients is still in the 5 th decade of life as comparable to previous studies. [ 11 12 ]…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical parameters and challenges of managing cervicofacial necrotizing fasciitis in a Sub-Saharan tertiary hospital

et al. 2015

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Necrotizing Soft Tissue Infections at a Tertiary Referral Hospital in Rwanda: Epidemiology and Risk Factors for Mortality

et al. 2018

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Noma and Cervicofacial Necrotizing Fasciitis: Clinicopathological Differentiation and an Illustrative Case Report of Noma

NiekerkCharles

Khammissa

AltiniMario

et al. 2014

AIDS Research and Human Retroviruses

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Noma predominantly affects malnourished young children. The pathogenesis of noma is complex and multifactorial, involving interaction between local polybacterial infection on the one hand, and malnutrition, immunosuppression, or systemic bacterial or viral infections on the other hand. Noma is considered to be an opportunistic disease, but the immediate cause is uncertain. Immunosuppression associated with a high HIV load may be an important risk factor in South Africa. Cervicofacial necrotizing fasciitis, on the other hand, occurs mainly in adults. It is frequently a consequence of an odontogenic infection and is characterized by an irregular pattern of rapidly spreading necrosis of fascia, muscle, and skin. We present an unusual case of noma in a 32-year-old malnourished HIV-seropositive female with AIDS in whom, within a period of 3 days, the initial intraoral necrotizing process spread rapidly and caused circular full thickness perforating destruction of the lower lip. Prompt diagnosis and treatment brought about control of the active disease and limited the extension of the established noma and of progression of the disease at other affected oral sites.

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Retrospective evaluation of necrotizing fasciitis in university college hospital, Ibadan

Abstract: We advocate early recognition, surgical debridement and intensive medical care for treatment of CNF in order to reduce morbidity and mortality from this condition.

Cited by 9 publications

References 13 publications

Clinical parameters and challenges of managing cervicofacial necrotizing fasciitis in a Sub-Saharan tertiary hospital

Clinical parameters and challenges of managing cervicofacial necrotizing fasciitis in a Sub-Saharan tertiary hospital

Necrotizing Soft Tissue Infections at a Tertiary Referral Hospital in Rwanda: Epidemiology and Risk Factors for Mortality

Noma and Cervicofacial Necrotizing Fasciitis: Clinicopathological Differentiation and an Illustrative Case Report of Noma

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