Cervical necrotizing fasciitis is a fast spreading acute soft tissue inflammation. Death can occur within 12–24 h. Early identification and treatment is needed. Citation: Lambade PN, Dolas RS, Virani N, Lambade DP () Cervicofacial Necrotising Fasciitis of Odontogenic Origin: A Review. Necrotizing fascitis is rapidly spreading soft tissue infection involving the subcutaneous tissues. Cervicofacial necrotizing fasciitis (CNF) is rare complication from.

Author: Monris Kajijin
Country: Thailand
Language: English (Spanish)
Genre: Personal Growth
Published (Last): 12 April 2013
Pages: 279
PDF File Size: 13.85 Mb
ePub File Size: 14.48 Mb
ISBN: 767-6-24684-983-1
Downloads: 51128
Price: Free* [*Free Regsitration Required]
Uploader: Zulugore

The organism most commonly isolated in this form of the disease are group A beta-hemolytic streptococci, either alone or in combination with Staphylococcus aureus. On the left side, there was a blackish discoloration over the cheek [ Figure 3 ]. Necrotizing fasciitis Synonyms Flesh-eating bacteria, flesh-eating bacteria syndrome, [1] necrotizing soft tissue infection NSTI[2] fasciitis necroticans Person with necrotizing fasciitis.

Cervico-facial necrotizing fasciitis.

No clear difference between using IVIG and placebo has been shown in the treatment of NSTIs, and one study showed serious becrotizing effects with IVIG use, including acute kidney injury, allergic reactions, aseptic meningitis syndrome, haemolytic anaemia, thrombi, and transmissible agents.

This report highlights the fact that minor trauma in the form of heat could be a precipitating factor in causing NF in a patient with simple neck space infection of odontogenic origin.

The term “necrotizing fasciitis” was first coined by Wilson in Delay in diagnosis leads to increase in the area of necrosis, with a resulting increase in cosmetic deformity cervicofaacial life-threatening complications.

Subsequent culture from separate tissue samples sent after the repeated debridements grew Klebsiella sp. The disease progressed rapidly, with necrosis of the skin, after the patient inflicted minor trauma in the form of application of heated medicinal leaves. Retrieved 10 Jan Textbook of Family Medicine. Retrieved from ” https: Supportive nexrotizing, often including intravenous hydration, wound care, anticoagulants to prevent thromboembolic events, pain control, et cetera should always be provided to fzsciitis when appropriate.


Arch Otolaryngol Head Neck Surg. In NF of the face and scalp, even minor trauma is independently more strongly associated with the condition than infection.

Minor trauma triggering cervicofacial necrotizing fasciitis from odontogenic abscess

Necrotizing fasciitis affects about 0. This page was last edited on 23 Decemberat Therefore, the values derived from this scoring system should be interpreted with caution. Views Read Edit View history. Synergistic necrotizing cellulitis resulting from peri-tonsillar abscess. Sudden, spreads rapidly [3].

Report of three cases and literature review. Get free access to newly published articles. A disastrous condition could thus be averted.

Hardening of the skin and soft tissue and swelling beyond the area of skin changes are commonly present in those with early necrotizing changes. His hemoglobin was 7. Sign in to download free article PDFs Sign in to access your subscriptions Sign in to your personal account. At that time, necrotizing soft-tissue infection was known as phagedaenic gnaw – biting or chewing which gradually make a hole or destroying it ulcer, phagedena gangrenous, gangrenous ulcer, malignant ulcer, putrid ulcer, or hospital gangrene.

For infection of the perineum and genitals Fournier gangrenetrauma, surgery, urinary tract infectionstones, and Bartholin gland abscess are the usual causes. Prostaglandin has been responsible for fever, inflammation, and pain.

Necrotizing fasciitis

Necrotizing fasciitis NF of the face and neck is a very rare complication of dental infection. These genomic species are phenotypically very similar and are collectively known as the Acinetobacter calcoaceticus-A baumannii complex ACB complex with genomic species 1 A calcoaceticus.

Immunocompromised persons also have two-fold higher risk of death from necrotizing infections, so higher suspicion should be maintained in this group. The complications that have been associated with NF of the head and neck include necrosis of the chest wall fascia, mediastinitis, pleural effusion, pericardial effusion, empyema, airway obstruction, arterial erosion, jugular vein thrombophlebitis, septic shock, lung abscess, carotid artery thrombosis, and DIC.


The latter type classically involves the neck, and the majority of cases follow dental or oropharyngeal infection. C-reactive proteintotal white blood cell count, hemoglobinsodiumcreatinineand blood glucose.

Davis, MD ; et al Julio F. Bacteriologic examination in NF usually reveals anaerobes, gram-negative rods, group A beta-hemolytic streptococci, and staphylococcus species.

Retrieved 28 May Archived from the original on Based on symptoms, medical imaging [4]. The skin showed changes that ranged from erythema necrotlzing patchy areas of bluish discoloration to frank necrosis and sloughing with oozing of pus. Create a free personal account to download free article PDFs, sign up for alerts, customize your interests, and more. Early symptoms of necrotizing fasciitis. By using this site, you agree to the Terms of Use and Privacy Policy.

Trauma has been implicated as a trigger in the extremities and the face but odontogenic infections head the list in the cervical region. A tool for distinguishing necrotizing fasciitis from other soft tissue infections”. Necrotizing changes affecting the groin are known as Fournier gangrene.

Poor immune function such as from diabetes or cancerobesityalcoholismintravenous drug useperipheral vascular disease [2] [3].

Cervico-facial necrotizing fasciitis.

Adhesive capsulitis of shoulder Impingement syndrome Rotator cuff tear Golfer’s elbow Tennis elbow. For reasons that are unclear, it occasionally occurs in people with an apparently normal general condition.

cervicoracial Only a few of such cases arise from the chest and abdomen. In the fifth century BC, Hippocrates described necrotizing soft tissue infection as a disease which was the complication of streptococcal infection where those affected would have ” erysipelas all over the body while the cause was only a trivial accident.