scholarly journals Necrotizing fasciitis as a complication of odontogenic infection: a review of management and case series

2017 ◽  
Vol 62 (3) ◽  
pp. 317-322 ◽  
Author(s):  
K Bayetto ◽  
A Cheng ◽  
P Sambrook
Keyword(s):  
Necrotizing Fasciitis ◽  
Case Series ◽  
Odontogenic Infection

Hyperbaric Oxygen as Adjunctive Therapeutic in Management of Craniocervical Necrotizing Fasciitis: Case Series and Treatment Protocol

2021 ◽  
Vol 79 (10) ◽  
pp. e91-e92
Author(s):  
S. McGowan ◽  
J. Leet ◽  
L. Christensen ◽  
L. Svoboda
Keyword(s):  
Necrotizing Fasciitis ◽  
Hyperbaric Oxygen ◽  
Treatment Protocol ◽  
Case Series

cervical necrotizing fasciitis: Case series and review of literature

2009 ◽  
Vol 18 (2) ◽  
Author(s):  
AS Adoga ◽  
AA Ofene ◽  
SJ Yiitok ◽  
A Adekwu ◽  
OGB Nwaorgu
Keyword(s):  
Necrotizing Fasciitis ◽  
Case Series ◽  
Review Of Literature

Emergency ultrasonography for the early diagnosis of necrotizing fasciitis: a case series from the ED

2013 ◽  
Vol 31 (3) ◽  
pp. 632.e5-632.e7 ◽  
Author(s):  
Lindsay Oelze ◽  
Stanley Wu ◽  
Jennifer Carnell
Keyword(s):  
Early Diagnosis ◽  
Necrotizing Fasciitis ◽  
Case Series ◽  
Emergency Ultrasonography

scholarly journals Odontogenic infection-related cervical necrotizing fasciitis treated by negative pressure wound therapy and reconstruction with a deltopectoral skin flap: A case report

2019 ◽  
Vol 65 (2) ◽  
pp. 87-92
Author(s):  
Yosuke KOBAYASHI ◽  
Kousuke YASUDA ◽  
Goro SUGIYAMA ◽  
Tomoki SUMIDA ◽  
Tomohiro YAMADA ◽  
...  
Keyword(s):  
Case Report ◽  
Necrotizing Fasciitis ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Skin Flap ◽  
Odontogenic Infection ◽  
Wound Therapy

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

2012 ◽  
Vol 3 (3) ◽  
pp. 261-264 ◽  
Author(s):  
GK Vivek ◽  
Ranjith Singh ◽  
GC Veena ◽  
Prappanna Arya
Keyword(s):  
Necrotizing Fasciitis ◽  
Subcutaneous Tissue ◽  
Neck Region ◽  
Odontogenic Infection ◽  
Clinical Entity ◽  
Rare Clinical Entity ◽  
Head And Neck Region ◽  
The Face ◽  
Life Threatening ◽  
Group A

ABSTRACT Necrotizing fasciitis is a progressive, life-threatening, bacterial infection of the skin, the subcutaneous tissue and the underlying fascia, in most cases caused by β-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. How to cite this article Vivek GK, Singh R, Veena GC, Arya P. Necrotizing Fasciitis of Face in Odontogenic Infection: A Rare Clinical Entity. World J Dent 2012;3(3):261-264.

scholarly journals Cervical necrotizing fasciitis and acute mediastinitis of odontogenic origin: A case series

2016 ◽  
pp. 0-0
Author(s):  
P Cariati ◽  
F Monsalve-Iglesias ◽  
A Cabello-Serrano ◽  
A Valencia-Laseca ◽  
B Garcia-Medina
Keyword(s):  
Necrotizing Fasciitis ◽  
Case Series ◽  
Odontogenic Origin ◽  
Acute Mediastinitis

scholarly journals FASCEÍTE NECROSANTE CÉRVICO-FACIAL DE ORIGEM ODONTOGÊNICA DA ORIGEM AO TRATAMENTO: UMA REVISÃO DE LITERATURA

2020 ◽  
Author(s):  
Tayná Das Mecêrdes Gonçalves ◽  
Maria Carolina Canadas Costa ◽  
Suelen Cristina Sartoretto Lorenzi ◽  
Marcelo José Uzeda ◽  
Rodrigo Figueiredo de Brito Resende
Keyword(s):  
Antibiotic Therapy ◽  
Necrotizing Fasciitis ◽  
The Elderly ◽  
Odontogenic Infection ◽  
Literature Analysis ◽  
Beta Lactam ◽  
Electronic Library ◽  
Exclusion Criteria ◽  
Odontogenic Infections ◽  
Key Factor

A Fasceíte Necrosante (FN) teve seu primeiro relato na época da guerra civil americana. Pode ser definida como uma infecção rara, com potencial de levar o paciente a óbito, onde acomete principalmente adultos e idosos, pacientes imunossuprimidos, portadores de diabetes miellitus e outros fatores sistêmicos, sem predileção por sexo. Estão presentes anaeróbicos e bactérias gram negativas nas feridas da FN.  O sucesso no tratamento envolve o diagnóstico precoce, desbridamento cirúrgico radical de todo o tecido necrótico, antibioticoterapia parenteral de amplo espectro e medidas gerais de suporte agressivas. Os Cirurgiões Bucomaxilofaciais, muitas vezes, se deparam com casos de FN de cabeça e pescoço, pois as infecções odontogênicas são as causas mais comuns dessa infecção. Foi realizada uma revisão de literatura com o objetivo de fazer um levantamento sobre os tratamentos para Fasciíte Necrosante Cérvico-Facial por complicação de infecção odontogênica. O estudo tomou forma a partir de pesquisa bibliográfica apoiada em leituras selecionadas após a aplicação dos critérios de exclusão, que tenham ênfase em casos clínicos de Fasciíte Necrosante Cérvico-Facial por complicação de infecção odontogênica com resumo, tratamento proposto e evolução do paciente. A base de dados utilizada para busca dos artigos foram os Periódicos CAPES, Literature Analysis (PubMed/ MEDLINE) e Scientific Electronic Library Online (SciELO). Foram encontrados 44 artigos e, considerando os critérios de inclusão e exclusão e as variantes necessárias, foram incluídos para análise apenas 21 artigos. Os fatores relacionados a condições sistêmicas prévias, idade e gênero sexual não são determinantes para o acometimento da doença. O tratamento padrão ouro consiste em antibioticoterapia, drenagem, desbridamento, irrigação, curativo e remoção do foco infeccioso. A antibioticoterapia, independentemente de sua forma de administração, é fator chave para o tratamento. Sendo importante associar as classes de antibiótico beta-lactâmicos e nitroimidazol para um maior índice de sucesso na evolução do paciente. Palavras-Chave: Fasciíte Necrosante Cérvico-Facial; Odontologia; Infecção. ABSTRACT Necrotizing Fasciitis (NF) had the first report at the time of the American Civil War. It can be defined as a rare infection, with death potential, affecting principally adults and the elderly, immunosuppressed patients, diabetes mellitus patients and other systemic factors, without preference by gender. Anaerobics and Gram Negative bacteria are present in NF lesions. Successful treatment involves an early diagnosis, radical debridement of all necrotic tissue, broad-spectrum antibiotic therapy, and aggressive general supportive measures. Oral and Maxillo Facial Surgeons often encounter facial-cervical NF because Odontogenic infections are the most common causes of this infection. This study aims to carry out a literature review with the objective of surveying the treatments for cervical-necrotizing fasciitis due to the complication of odontogenic infection. The study was based on bibliographic research based on selected readings after applying the exclusion criteria, which emphasize clinical cases of Facial Necrotizing Fasciitis due to the complication of odontogenic infection with summary, proposed treatment and evolution of the disease. The database used to search the articles were the CAPES Journals, Literature Analysis and Scientific Electronic Library Online. We found 44 articles and, considering the inclusion and exclusion criteria, only 21 articles were included for analysis. Factors related to previous systemic conditions, age and gender are not determinant for disease involvement. The gold standard treatment consists of antibiotic therapy, drainage, debridement, irrigation, band Aid and removal of the infectious focus. Antibiotic therapy, apart of its forms of administration, is a key factor for treatment. It is important to combine the beta-lactam antibiotic and nitroimidazole classes for a higher success rate in patient outcome.Key words: Necrotizing Cervico-Facial Fasciitis; Dentistry; Infection.

Mucormycosis due to Apophysomyces species complex- 25 years’ experience at a tertiary care hospital in southern India

2019 ◽  
Vol 58 (4) ◽  
pp. 425-433 ◽  
Author(s):  
Umabala Pamidimukkala ◽  
Sukanya Sudhaharan ◽  
Anuradha Kancharla ◽  
Lakshmi Vemu ◽  
Sundaram Challa ◽  
...  
Keyword(s):  
Necrotizing Fasciitis ◽  
Amphotericin B ◽  
Species Complex ◽  
Case Reports ◽  
Tertiary Care ◽  
Case Series ◽  
Chronic Alcoholism ◽  
Care Hospital ◽  
Amphotericin B Deoxycholate ◽  
Progressive Necrosis

Abstract Apophysomyces elegans species complex is an important cause of cutaneous mucormycosis in India. However, majority of those cases are reported as case reports only. We desired to analyze our patients with Apophysomyces infection reported over 25 years (1992–2017) to understand the epidemiology, management, and outcome of the disease. During the study period 24 cases were reported, and the majority (95.8%) of them presented with necrotizing fasciitis following accidental/surgical/iatrogenic trauma. One patient presented with continuous ambulatory peritoneal dialysis (CAPD) related peritonitis. Healthcare related Apophysomyces infection was noted in 29.2% patients. In addition to trauma, comorbidities were noted in 37.5% patients (type 2diabetes mellitus-6, chronic alcoholism-2, and chronic kidney disease-1). Of the 24 isolates, 11 isolates starting from year 2014 were identified as Apophysomyces variabilis by molecular methods. Majority (95.8%) of the patients were managed surgically with or without amphotericin B deoxycholate therapy, while one patient was treated with amphotericin B deoxycholate alone. Among 24 patients, seven (29.1%) recovered, six (25%) patients could not afford antifungal management and left the hospital against medical advice, and 11 (45.9%) patients died.The present case series highlights that necrotizing fasciitis caused by A. variabilis is prevalent in India, and the disease may be healthcare related. Although diagnosis is not difficult, awareness among surgeons is still limited about the infection, leading to a delay in sending samples to the mycology laboratory. Apophysomyces infection must be considered in the differential diagnosis in apatient with progressive necrosis of a wound who is not responding to antibacterial therapy.

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