Odontogenic cervical necrotizing fasciitis.
Two cases of cervical necrotizing fasciitis, secondary to dental infection, are presented. It is a potentially life-threatening severe mixed infection with rapidly progressive inflammation and necrosis of the fascia, muscle and fat. Laboratory and CT features are described. CT scan was also useful for progress monitoring during the treatment. Both cases were complicated by mediastinitis with pleural effusions. A successful non-fatal outcome was achieved following multiple surgical interventions, aggressive culture based antimicrobial therapy, multi-specialty approach and intensive supportive care of the patients.
Ashar
Abid
A
Department of Oral and Maxillofacial Surgery, Fatima Memorial Hospital-College of Medicine and Dentistry, Shadman, Lahore. abidashar@yahoo.com
D000038:Abscess / Q000150:complications; D000328:Adult; D016724:Empyema, Pleural / Q000150:complications; D019115:Fasciitis, Necrotizing / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000150:complications; D008875:Middle Aged; D009333:Neck; D014057:Tomography, X-Ray Computed; D014081:Tooth Extraction / Q000009:adverse effects*