title: Cervical necrotizing fasciitis as a complication of acute epiglottitis managed with minimally aggressive surgical intervention: Case report.
abstract: Cervical necrotizing fasciitis secondary to epiglottitis is rare. The standard treatment of this severe condition has long been early and aggressive surgical debridement and adequate antimicrobial therapy. We report the case of an immunocompetent 59-year-old man who developed cervical necrotizing fasciitis as a complication of acute epiglottitis. We were able to successfully manage this patient with conservative surgical treatment (incision and drainage, in addition to antibiotic therapy) that did not involve aggressive debridement.
authors.affiliation: Department of Otolaryngology, 5A ENT Clinic, Royal Hobart Hospital, 48 Liverpool St., Hobart 7000, Tasmania, Australia. rbgollapalli@yahoo.com.
authors.forename: Rajesh Babu
authors.initials: RB
authors.lastname: Gollapalli
authors.forename: Ana Nusa
authors.initials: AN
authors.lastname: Naiman
authors.forename: David
authors.initials: D
authors.lastname: Merry
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage; D004826:Epiglottitis / Q000150:complications*; D019115:Fasciitis, Necrotizing / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents