Extensive Cervical Necrotizing Fasciitis of Odontogenic Origin
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Data
2013-11-01
Autores
Antunes, Antonio Azoubel
Avelar, Rafael Linard
Melo, Willian Morais de [UNESP]
Pereira-Santos, Darklilson
Frota, Riedel
Título da Revista
ISSN da Revista
Título de Volume
Editor
Lippincott Williams & Wilkins
Resumo
Necrotizing fasciitis (NF) is an uncommon infection, but potentially lethal, especially when associated with systemic disorders such as diabetes. The authors report a case of necrotizing fasciitis from odontogenic origin in a patient with uncontrolled diabetes mellitus. The initial diagnosis was based on clinical information, in which multiple necrosis areas in cervical and thoracic regions were observed. Wide antibiotic therapy was applied, followed by surgical drain age and debridement. Culture was positive for methicillin-resistant Staphylococcus aureus. Although the treatment is established, the patient dies after sepsis and failure of vital organs. Clearly, the morbidity associated to this infection, even in diabetic patients, can be minimized if an early diagnosis and effective debridement are done.
Descrição
Palavras-chave
Dental infection, necrotizing fasciitis, diabetes mellitus, surgical management
Como citar
Journal Of Craniofacial Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 24, n. 6, p. E594-E597, 2013.