TY - JOUR
T1 - Necrotizing fasciitis of the face
T2 - A life-threatening condition
AU - Pepe, Ilenia
AU - Lo Russo, Lucio
AU - Cannone, Valentina
AU - Giammanco, Anna
AU - Sorrentino, Fortunato
AU - Ciavarella, Domenico
AU - Campisi, Giuseppina
PY - 2009
Y1 - 2009
N2 - Necrotizing fasciitis (NF) is a highly aggressive infectious process, polymicrobial in nature, involving soft tissues with a high risk of rapid spread through superficial and deep fascial planes and muscular layers. Cervical NF is quite rare, is mostly of odontogenic origin, and may be complicated by descendant mediastinitis with a very high mortality rate. Systemic conditions impairing the patient's immune competence, such as diabetes, may play a predisposing role. An effective treatment strategy includes prompt diagnosis (clinical findings, local microbiological tests, blood culture and, if deemed necessary, histopathology), broad-spectrum antibiotic therapy as early as possible which should be later adjusted according to antibiogram results, stabilization of vital functions and, if possible, elimination/treatment of predisposing factors. This paper describes a complex and emblematic case.
AB - Necrotizing fasciitis (NF) is a highly aggressive infectious process, polymicrobial in nature, involving soft tissues with a high risk of rapid spread through superficial and deep fascial planes and muscular layers. Cervical NF is quite rare, is mostly of odontogenic origin, and may be complicated by descendant mediastinitis with a very high mortality rate. Systemic conditions impairing the patient's immune competence, such as diabetes, may play a predisposing role. An effective treatment strategy includes prompt diagnosis (clinical findings, local microbiological tests, blood culture and, if deemed necessary, histopathology), broad-spectrum antibiotic therapy as early as possible which should be later adjusted according to antibiogram results, stabilization of vital functions and, if possible, elimination/treatment of predisposing factors. This paper describes a complex and emblematic case.
KW - Complications
KW - Face
KW - Infections
KW - Neck
KW - Necrotizing fasciitis
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U2 - 10.1007/BF03324928
DO - 10.1007/BF03324928
M3 - Article
C2 - 19959927
AN - SCOPUS:73849125902
SN - 1594-0667
VL - 21
SP - 358
EP - 362
JO - Aging Clinical and Experimental Research
JF - Aging Clinical and Experimental Research
IS - 4-5
ER -