[Cervical necrotizing fasciitis].
Necrotizing fasciitis is a severe fatal soft tissue infection characterized by necrosis of fascia. It was caused by polymicrobial infections with aerobe and anaerobe. Although it commonly involved abdomen, extremities and perineum, it might also occur in head and neck. One case of CNF arising from pharyngolaryngitis was reported. A review of the literature with the clinical presentations, bacteriology, diagnosis and treatment was presented. The key to successful management is early recognition, broad-spectrum antibiotics and prompt aggressive surgical intervention with medical support and hyperbaric oxygen therapy.
Department of Otolaryngology, Beijing Army General Hospital, Beijing 100700.
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Ye
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Liang
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Ji
D019115:Fasciitis, Necrotizing / Q000209:etiology* / Q000382:microbiology; D006801:Humans; D007827:Laryngitis / Q000150:complications* / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D009333:Neck; D010612:Pharyngitis / Q000150:complications* / Q000382:microbiology; D011549:Pseudomonas / Q000302:isolation & purification; D011552:Pseudomonas Infections