Cervical Necrotizing Fasciitis Due to Bacterial Tonsillitis

Zilberstein, Bruno; Cleva, Roberto de; Testa, Renato Scarsi; Sene, Ubirajara; Eshkenazy, Rony; Gama-Rodrigues, Joaquim

doi:10.1590/s1807-59322005000200015

Cited by 20 publications

(15 citation statements)

References 15 publications

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“…Le traitement conservateur est le traitement endodontique de la dent responsable de l'infection. Il faut toujours tenir compte de l'état général, de l'importance de la dent, du niveau d'hygiène bucco-dentaire, et du principe de la préservation lorsque c'est possible [24,25] . Tous les patients ont été adressés au centre de consultation et de traitement dentaire du CHU Rabat-Salé pour traitement de la dent causale et mise en état de la denture.…”

Section: Discussionunclassified

Cellulites cervico-faciales diffuses d’origine dentaire : à propos de 60 cas

Ayoubi¹,

Ayoubi²,

Mas

et al. 2009

Med Buccale Chir Buccale

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Objectif : Les cellulites cervico-faciales diffuses restent des affections encore très graves, seule une prise en charge précoce et multidisciplinaire permet d'espérer un bon pronostic. L'objectif de notre étude rétrospec-tive est d'étudier les différents aspects épidémiologiques, cliniques, paracliniques, thérapeutiques, évolutifs et préventifs de ces pathologies, tout en comparant nos résultats aux données de la littérature. Résultats : L'analyse de nos dossiers a trouvé que cette pathologie touche les hommes plus que les femmes, avec une moyenne d'âge de 29 ans. Les facteurs favorisants ont été étudié et analysé statistiquement par la méthode analyse de la variance, qui a permis de les classer en trois niveaux selon leur importance : la prise d'anti-inflammatoires non stéroïdiens et la mauvaise hygiène bucco-dentaire en 1 er niveau, ensuite le diabète en 2 e niveau, et au 3 e niveau l'extraction dentaire ainsi que la tentative d'extraction dentaire. Les dents les plus souvent en cause étaient des molaires mandibulaires avec un taux de 85,7 %. La prise en charge thérapeu-tique a permis une évolution favorable dans 98,3 % des cas mais, dans un cas, l'évolution a été marquée par la survenue de complications ayant entraîné le décès. Conclusion

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Section: Discussionunclassified

Cellulites cervico-faciales diffuses d’origine dentaire : à propos de 60 cas

Ayoubi¹,

Ayoubi²,

Mas

et al. 2009

Med Buccale Chir Buccale

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“…Patients with NF usually have an associated systemic condition such as diabetes mellitus, arteriosclerosis, obesity, metastatic neoplasm, old age, hypothyroidism, alcoholism, neoplasms, cirrhosis, drug abuse, poor nutritional state, or use of corticosteroids [8]. In our case the patient was only mildly anemic and malnourished; factors that most likely predisposed to necrotizing fasciitis.…”

Section: Discussionmentioning

confidence: 86%

“…Facial NF is generally due to a dental or pharyngeal abscess (surgical or post-traumatic), radiotherapy, or an unknown cause [8]. Lower lip NF is rare, but lip cellulitis as a result of chin acne infection is common especially in young adults.…”

Section: Discussionmentioning

confidence: 99%

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A case of labio-facial necrotizing fasciitis complicating acne

Eltayeb¹,

Ahmad²,

Elbeshir

2016

BMC Res Notes

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BackgroundFacial necrotizing fasciitis is extremely rare. Most of the cases reported in literature are related to dental, sinus, tonsillar and salivary glands causes, but rarely as consequence of skin infection. We report a unique case of lower lip cellulitis, which was initially misdiagnosed as angioedema and subsequently progressed into lower lip necrotizing fasciitis.Case presentationThis is a case report of necrotizing fasciitis involving the lower lip as a consequence of infected skin acne in a 19 year old black female. The patient had been diagnosed earlier as a case of angioedema by a physician and treated accordingly. She was mildly anemic, hyponatremic and hypokalemic. Treatment was started immediately by incision, drainage and full debridement of the whole necrotic tissue. Triple antibiotic therapy was administered and daily irrigation and dressing were performed until full recovery. Complete healing occurred within a month by secondary intention.ConclusionThis case demonstrates the misdiagnosis of a lip swelling leading to the development of labiofacial necrotizing fasciitis, a serious and life threatening condition. Lip angioedema is a common condition; however, lip fasciitis is rare. A broad differential diagnosis in case of lower lip swelling is essential to avoid inappropriate treatment delay.

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“…The condition was first described by Meleny (1924) in China,1 it is typified by cutaneous necrosis, suppurative fasciitis, thrombosis of small blood vessels in the subcutaneous tissue and extreme systemic toxicity 2. It can rapidly involve overlying skin, subcutaneous tissues, muscle and other adjacent soft tissue structures.…”

Section: Introductionmentioning

confidence: 99%

Necrotizing fasciitis of face - our experience in its management

Singh

Thomas

Nair³

et al. 2011

Case Reports

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SummaryNecrotising fasciitis (NF) is a severe soft tissue infection which spreads rapidly through fascial planes, characterised by soft tissue necrosis and potentially life threatening. Involvement of the face from NF is rare. Only 35 such cases have been reported in the literature since 1960. It is associated with a high mortality and results in severe disfi gurement of the face, posing challenging reconstructive problems. The authors present their experience on the comprehensive management of NF of face with severe disfi gurement affecting a young female patient.

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Cervical Necrotizing Fasciitis Due to Bacterial Tonsillitis

Cited by 20 publications

References 15 publications

Cellulites cervico-faciales diffuses d’origine dentaire : à propos de 60 cas

Cellulites cervico-faciales diffuses d’origine dentaire : à propos de 60 cas

A case of labio-facial necrotizing fasciitis complicating acne

Necrotizing fasciitis of face - our experience in its management

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