Cervical necrotizing fasciitis of odontogenic origin involving the temporal region--a case report.
Necrotizing fasciitis (NF) is a soft-tissue infection, usually polymicrobial, that causes necrosis of fascia and subcutaneous tissue while sparing skin and muscle. We report a case of cervical NF complicating dental infection in a 50-year-old woman, who presented with infection involving mucosa of the right mandible and temporal muscle, and masticator spaces, requiring extensive surgery and antibiotic therapy. Prompt diagnosis and immediate aggressive surgical debridement of all compromised tissues are critical to reducing morbidity and mortality in these rapidly progressive infections.
Department of Odontostomatologic and Ophthalmologic Sciences, University of Siena, Italy. lorenzinig@unisi.it
Guido
G
Lorenzini
Maria
M
Picciotti
Luca
L
Di Vece
Emanuela
E
Pepponi
Leopoldo
L
Brindisi
Valeria
V
Vessio
Marianna
M
Maffei
Massimo
M
Viviano
D000038:Abscess / Q000150:complications*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D002177:Candidiasis / Q000175:diagnosis; D003646:Debridement; D003731:Dental Caries / Q000150:complications*; D019115:Fasciitis, Necrotizing / Q000209:etiology*; D005260:Female; D005491:Focal Infection, Dental / Q000150:complications*; D005500:Follow-Up Studies; D006801:Humans; D007710:Klebsiella Infections / Q000175:diagnosis; D041121:Klebsiella oxytoca / Q000302:isolation & purification; D008336:Mandibular Diseases / Q000150:complications*; D008875:Middle Aged; D009135:Muscular Diseases / Q000150:complications; D009334:Neck Muscles / Q000473:pathology*; D013203:Staphylococcal Infections / Q000175:diagnosis; D013212:Staphylococcus epidermidis / Q000302:isolation & purification; D013703:Temporal Muscle / Q000473:pathology
D000900:Anti-Bacterial Agents; D000935:Antifungal Agents