Cervicofacial necrotizing fasciitis.
Cervical necrotizing fasciitis is a fast spreading acute soft tissue inflammation. Death can occur within 12-24 h. Early identification and treatment is needed. We report the case of a 75 year old woman with diabetes and high cholesterol, adipositas who developed cervical necrotizing fasciitis of odotongenic origin with massive subcutaneous air collection and first sign of septicaemia. Surgical treatment with debridement and drainage in combination with intravenous broadbased antibiotics as well as daily irrigation of the wound with iodine solution (Betaisodona) and metronidazol (local antibiotic treatment) was performed. The patient recovered completely. Surgical debridement combined with broad-spectrum of antibiotics showed satisfying result for the management of cervical necrotizing fasciitis of dentogenous origin.
Hohlweg-Majert
Bettina
B
Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Hugstetterstrasse 55, D-79106 Freiburg, Germany. bettina.majert@unkilinik-freiburg.de
Weyer
Nils
N
Metzger
Marc C
MC
Schön
Ralf
R
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D004322:Drainage; D005145:Face / Q000473:pathology; D019115:Fasciitis, Necrotizing / Q000473:pathology* / Q000628:therapy; D005260:Female; D006801:Humans; D009333:Neck / Q000473:pathology; D018461:Soft Tissue Infections / Q000473:pathology* / Q000628:therapy
D000900:Anti-Bacterial Agents