Necrotising fasciitis caused by dental infection

McAndrew, P G; Davies, Stephen; Griffiths, Richard W.

doi:10.1016/0266-4356(87)90071-4

Cited by 19 publications

(7 citation statements)

References 45 publications

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“…This may be due to the delay of treatment caused by the relatively high cost of dental care and public indifference to dental health compared with pharyngotonsillitis. There were some reports that indicated complicated or serious deep neck infections, such as descending necrotizing mediastinitis or cervical necrotizing fasciitis, secondary to odontogenic infections 14-20. However, in this study, logistic regression revealed that odontogenic causes were negatively correlated with complicated deep neck infections ( p = 0.037).…”

Section: Discussioncontrasting

confidence: 67%

Predisposing Factors of Complicated Deep Neck Infection: An Analysis of 158 Cases

2007

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Both the introduction of antibiotics and improvements in oral hygiene have made deep neck infections occur less frequently today than in the past. Nevertheless, the complications from these infections are often life-threatening. The purpose of this article was to review the clinical findings of deep neck infections and identify the predisposing factors of these complications. The present study reviewed 158 cases of deep neck infections between the years of 1995 to 2004, 23 of which had life-threatening complications. Cases were excluded if they had peritonsillar abscesses, superficial infections, infections related to external neck wounds, or head and neck tumors. The authors used multiple linear regression and the logistic regression analysis in order to determine the clinical parameters that are associated with longer hospitalizations and complicated deep neck infections, respectively. The multiple linear regression showed that patients with a large number of involved spaces, diabetes mellitus, and complications required longer hospitalizations (p < 0.05). The logistic regression showed that patients with more than two involved spaces were more likely to have complicated deep neck infections (p < 0.05). Patients with odontogenic causes had negative correlation (p < 0.05). We recommend that high-risk groups, such as diabetic patients and/or patients with more than two involved spaces, should be more closely monitored throughout their hospitalization.

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Section: Discussioncontrasting

confidence: 67%

Predisposing Factors of Complicated Deep Neck Infection: An Analysis of 158 Cases

2007

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“…Enterobacter and Pseudomonas have also been isolated. [13][14] The role of ß-haemolytic Streptococcus is related to synthesis of haemolysins, fibrinolysins and hyaluronidase facilitating a rapid spread of infection. 15 The antimicrobial agents initially used are based upon the organisms most frequently encountered in an infection of odontogenic origin, therefore penicillin G remains the primary treatment for group A streptococcal infections.…”

Section: Discussionmentioning

confidence: 99%

Ascending necrotising fasciitis as a result of odontogenic infection: a report of two cases

Shand

Breidahl²,

Hing³

et al. 2001

Australian Dental Journal

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Necrotising fasciitis is a severe soft tissue infection which spreads rapidly through fascial planes, is characterised by soft tissue necrosis and is potentially life-threatening. It is a rare entity in the head and neck region. The management of this condition is difficult and early diagnosis and aggressive surgical and medical management are essential. This paper reports two cases of necrotising fasciitis as a result of ascending odontogenic infection involving the temporalis muscle.

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“…Even without spreading so deeply, necrotizing fasciitis is another dangerous consequence of focal infection (Mruthyunjaya, 1981;McAndrew et al, 1987;Steel, 1987;Kubo et al, 1989;Ogiso et al, 1992;Reed and Anand, 1992;Stoykewych et al, 1992;Mizuno et al, 1993). One may note how recent are some of these references.…”

Section: The Target Tissuesmentioning

confidence: 99%

Focal Infection

Newman¹

1996

J Dent Res

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Necrotising fasciitis caused by dental infection

Cited by 19 publications

References 45 publications

Predisposing Factors of Complicated Deep Neck Infection: An Analysis of 158 Cases

Predisposing Factors of Complicated Deep Neck Infection: An Analysis of 158 Cases

Ascending necrotising fasciitis as a result of odontogenic infection: a report of two cases

Focal Infection

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