Necrotizing fasciitis of odontogenic origin in Ibadan, Nigeria

Ae, Obiechina; Arotiba, JT; Ao, Fasola

doi:10.1054/bjom.2000.0585

Cited by 24 publications

(41 citation statements)

References 24 publications

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“…The CT of our case helps us identify subcutaneous gas and micro-abscesses. Even though the CT image does not illustrate significant pathology, it helps guide surgical intervention [6,9].…”

Section: Discussionmentioning

confidence: 99%

Life-Threatening Necrotizing Fasciitis of the Neck: A Case Report

Iynen

2011

J Curr Surg

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Necrotizing fasciitis is a rare, progressive and life-threatening bacterial infection which spreads with frightening speed along the fascial planes and subcutaneous tissue resulting in extensive tissue necrosis and often death. Rapidly spreading necrosis often causes systemic sepsis, toxic shock syndrome and multiorgan failure. Necrotizing fasciitis of the neck is rare and commonly has a dental or pharyngeal origin. Factors affecting the success of the treatment of necrotizing fasciitis are early diagnosis, appropriate antibiotics and surgical debridement. This article is presented in a patient with necrotizing fasciitis of the neck originated from odontogenic infection. Clinical features, pathogenesis and treatment of the case are discussed with the literature.

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“…The CT of our case helps us identify subcutaneous gas and micro-abscesses. Even though the CT image does not illustrate significant pathology, it helps guide surgical intervention [6,9].…”

Section: Discussionmentioning

confidence: 99%

Life-Threatening Necrotizing Fasciitis of the Neck: A Case Report

Iynen

2011

J Curr Surg

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“…Several authors have reviewed the presentation and the management of the disease. 2,5,6,7,14 The clinical signs and symptoms are nonspecific. The skin is red-hot, smooth, tense and tender without sharp demarcation between the involved and normal skin.…”

Section: Necrotizing Fasciitis Of Face In Odontogenic Infection: a Ramentioning

confidence: 99%

“…The skin necrosis is secondary to thrombosis of the nutrient vessels passing through necrotic fascia. [1][2][3][4]11 The patient is acutely ill, with low to medium grade fever associated with tachycardia. All fascial planes of the head and neck can be involved in NF and may not be localized.…”

Section: Necrotizing Fasciitis Of Face In Odontogenic Infection: a Ramentioning

confidence: 99%

“…[1][2][3][4][5][6]7 Passing a blunt instrument easily along the fascial plane is a specific clinical sign, a spectrum of microbes have been reported to be the primary pathogens. [1][2][3][4][5][6]9 The microorganisms isolated in our cases are consistent with the view that NF is a synergetic bacterial infection usually produced by a combination of grampositive cocci and gram-negative rods. 3,6 Prompt and successful management of NF is universally agreed to be aggressive surgical intervention, intravenous wide-spectrum antibiotics and supportive therapy.…”

Section: Necrotizing Fasciitis Of Face In Odontogenic Infection: a Ramentioning

confidence: 99%

“…The disease is now known to be caused by a polymicrobial or mixed aerobic-anaerobic infection. 2 Patients with immunocompromised status like diabetes mellitus, cancer, alcoholism, vascular insufficiencies, organ transplants, HIV or malnutrition are prone to this type of infection. 3,4 Organisms spread from the subcutaneous tissue along the superficial and deep fascial planes, presumably facilitated by bacterial enzymes and toxins.…”

Section: Introductionmentioning

confidence: 99%

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Necrotizing Fasciitis of Face in Odontogenic Infection: A Rare Clinical Entity

Vivek¹,

Singh²,

Veena³

et al. 2012

World Journal of Dentistry

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Necrotizing fasciitis is a progressive, life-threatening, bacterial infection of the skin, the subcutaneous tissue and the underlying fascia, in most cases caused by -hemolytic group A Streptococcus. Only early diagnosis and aggressive therapy including broad spectrum antibiotics and surgical intervention can avoid systemic toxicity with a high mortality rate. This disease is commonly known to occur in the lower extremities and trunk, and only rarely in the head and neck region, the face being rarest finding. When located in the face necrotizing fasciitis is associated with severe cosmetic and functional complication due to the invasive nature, infection and often due to the necessary surgical treatment. In the following article, we present the successful diagnosis and management of an isolated facial necrotizing fasciitis as a consequence of odontogenic infection.

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Cervical necrotizing fasciitis: management challenges in poor resource environment

Adekanye

Umana

Offiong

et al. 2015

Eur Arch Otorhinolaryngol

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Necrotizing fasciitis of the head and neck is a rare and potentially fatal disease. It is a bacterial infection characterized by spreading along fascia planes and subcutaneous tissue resulting in tissue necrosis and likely death. It is commonly of dental or pharyngeal origin. Factors affecting the success of the treatment are early diagnosis, appropriate antibiotics and surgical debridement. Our study showed eight patients, five males and three females with mean age of 49.25 years (range 20-71 years). Clinical presentations were a rapidly progressing painful neck swelling, fever, dysphagia and trismus. The aetiology varied from idiopathic, pharyngeal/tonsillar infection, trauma and nasal malignancy. There were associated variable comorbidities (diabetes mellitus, HIV infection, hypertension and congestive cardiac failure). All the patients received early and aggressive medical treatment. The earliest time of surgery was 12 h after admission because of the poor financial status of patients. Three cases came in with complications of the disease and were not fit for extensive debridement under general anaesthesia. For them limited and reasonable bed side debridement was done. Mortality was 50 % from multiple organ failure, HIV encephalopathy, aspiration pneumonitis and septicemia. The duration of hospital stay for the patients that died ranged from 1 to 16 days and 4 to 34 days for the survivor. Our study heightens awareness and outlines the management challenges of necrotizing fasciitis of the head and neck in a poor resource setting.

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Necrotizing fasciitis of odontogenic origin in Ibadan, Nigeria

Cited by 24 publications

References 24 publications

Life-Threatening Necrotizing Fasciitis of the Neck: A Case Report

Life-Threatening Necrotizing Fasciitis of the Neck: A Case Report

Necrotizing Fasciitis of Face in Odontogenic Infection: A Rare Clinical Entity

Cervical necrotizing fasciitis: management challenges in poor resource environment

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