Cervicofacial necrotizing fasciitis following periodontal abscess.
Soft tissue infections are characterized by acute inflammation, diffuse edema, and suppuration, and are often associated with symptoms such as malaise, fever, tachycardia, and chills. Necrotizing fasciitis is a destructive bacterial infection affecting subcutaneous tissue and superficial fascia and is associated with high rates of mortality. It usually involves the abdomen and extremities, but it also can occur in the head and neck. Early diagnosis is critical and the most commonly accepted treatment includes radical surgical intervention and administration of broad-spectrum antibiotics. This article reports and discusses the case of a patient with odontogenic cervicofacial necrotizing fasciitis, and emphasizes the importance of early and effective treatment.
Hospital da Restauracao, Recife, Penambuco, Brazil.
Rui
R
Medeiros
Ivson de Sousa
Ide S
Catunda
Isaac Vieira
IV
Queiroz
Hecio Henrique Araujo
HH
de Morais
Jair Carneiro
JC
Leao
Luiz Alcino Monteiro
LA
Gueiros
D016301:Alveolar Bone Loss / Q000209:etiology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003646:Debridement / Q000379:methods; D042241:Early Diagnosis; D019115:Fasciitis, Necrotizing / Q000209:etiology*; D005491:Focal Infection, Dental / Q000150:complications*; D006801:Humans; D007710:Klebsiella Infections / Q000175:diagnosis; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000473:pathology*; D010508:Periodontal Abscess / Q000150:complications*; D014945:Wound Healing / Q000502:physiology
D000900:Anti-Bacterial Agents