Cervical necrotizing fasciitis: two case reports and review of the literature.
Necrotizing fasciitis is a rapidly progressive mixed-organism infection that, in the neck, involves the superficial and deep cervical fascia. Underestimation of this complication of a "minor head and neck infection" can delay diagnosis and treatment of this often fatal disease process. Thirty-five cases of necrotizing fasciitis involving the neck have been reported previously. Two new cases of cervical necrotizing fasciitis and a review of previously reported cases are presented. Management is discussed. Early diagnosis is critical. Antibiotic therapy and prompt, aggressive surgical intervention are appropriate.
Legreid
R J
RJ
Hendrix
R A
RA
D000328:Adult; D005208:Fasciitis / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009333:Neck; D009336:Necrosis / Q000175:diagnosis / Q000628:therapy