Cervico-facial necrotising fasciitis occurring with facial paralysis: case report.
Necrotising fasciitis is a soft tissue infection, usually polymicrobial, characterised by necrosis of fascia and subcutaneous tissue. It frequently involves the groin, abdomen and extremities, but rarely involves the cervico-facial region. A case is presented of a 70-year old man who, following a futile attempt to extract a lower left first molar, developed a cervico-facial necrotising faciitis with facial nerve paralysis. Bacteriological investigations revealed the presence of Klebsiella spp and viridans streptococci. It is emphasized that early detection of this disease followed by aggressive surgical debridement and antibiotic therapy are most important.
Simon
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Department of Oral Surgery and Oral Pathology, Faculty of Dentistry, Muhimbili University College of Health Sciences, Dar es Salaam, Tanzania.
Matee
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MI
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003646:Debridement; D005148:Facial Dermatoses / Q000209:etiology* / Q000628:therapy; D005158:Facial Paralysis / Q000382:microbiology*; D019115:Fasciitis, Necrotizing / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007710:Klebsiella Infections / Q000209:etiology* / Q000628:therapy; D008297:Male; D009333:Neck; D014081:Tooth Extraction / Q000009:adverse effects*
D000900:Anti-Bacterial Agents