Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: A case report
Necrotizing fasciitis (NF) is a severe bacterial infection with rapid and aggressive progression. The infection generally affects individuals with comorbid conditions that lead to immunologic and microvascular deficiencies. It is characterized by necrosis of tissues, mainly in the extremities, trunk...
| Authors: | ; ; ; ; |
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| Format: | Article |
| Status: | Published version |
| Publication date: | 2017 |
| Country: | Brasil |
| Institution: | UNESP |
| Repository: | Repositório Institucional da UNESP |
| Language: | English |
| OAI Identifier: | oai:repositorio.unesp.br:11449/220893 |
| Online Access: | http://hdl.handle.net/11449/220893 |
| Access Level: | Open access |
| Keyword: | Bacterial infections Neck injuries Necrotizing fasciitis |
| _version_ | 1878756326072385536 |
|---|---|
| author | Cavalcante, Mateus Barros |
| author2 | De Oliveira Lima, Amanda Laisa Moreira, Raphael Teixeira De Oliveira E Silva, Emanuel Dias De Lira Castelo Branco, Bruno |
| author2_role | author author author author |
| author_browse | Cavalcante, Mateus Barros De Lira Castelo Branco, Bruno De Oliveira E Silva, Emanuel Dias De Oliveira Lima, Amanda Laisa Moreira, Raphael Teixeira |
| author_facet | Cavalcante, Mateus Barros De Oliveira Lima, Amanda Laisa Moreira, Raphael Teixeira De Oliveira E Silva, Emanuel Dias De Lira Castelo Branco, Bruno |
| author_role | author |
| collection | Repositório Institucional da UNESP |
| description | Necrotizing fasciitis (NF) is a severe bacterial infection with rapid and aggressive progression. The infection generally affects individuals with comorbid conditions that lead to immunologic and microvascular deficiencies. It is characterized by necrosis of tissues, mainly in the extremities, trunk, and perineum, and is rarely found in the head and neck. This case report describes the course of NF in a 55-year-old man, highlighting diagnosis, surgical treatment, drug therapy, and supportive measures. The patient, who had chronic alcoholism, systemic arterial hypertension, a smoking habit, and decompensated diabetes (glucose level of 490 mg/dL), was admitted to the hospital with a volume increase in the cervical and thoracic areas with a duration of about 7 days. He presented with fever, dyspnea, and inflammatory signs bilaterally in the submandibular, submental, and superior thoracic regions as well as severe trismus. The patient underwent a surgical procedure to drain the infectious process and to place drains. The patient developed cutaneous necrosis in the cervical and superior thoracic regions, diagnosed as NF. Surgical debridement of all affected tissue was performed. After resolution of the infection, the patient underwent skin grafting with a satisfactory outcome. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | BR_5f3ad4e4e2c6f0eb6c5053d0d2baeb4c |
| institution | UNESP |
| instname_str | Universidade Estadual Paulista (UNESP) |
| language | eng |
| network_acronym_str | BR |
| network_name_str | Brasil |
| oai_identifier_str | oai:repositorio.unesp.br:11449/220893 |
| publishDate | 2017 |
| publishDateSort | 2017 |
| reponame_str | Repositório Institucional da UNESP |
| spelling | Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: A case report Cavalcante, Mateus Barros De Oliveira Lima, Amanda Laisa Moreira, Raphael Teixeira De Oliveira E Silva, Emanuel Dias De Lira Castelo Branco, Bruno Bacterial infections Neck injuries Necrotizing fasciitis Necrotizing fasciitis (NF) is a severe bacterial infection with rapid and aggressive progression. The infection generally affects individuals with comorbid conditions that lead to immunologic and microvascular deficiencies. It is characterized by necrosis of tissues, mainly in the extremities, trunk, and perineum, and is rarely found in the head and neck. This case report describes the course of NF in a 55-year-old man, highlighting diagnosis, surgical treatment, drug therapy, and supportive measures. The patient, who had chronic alcoholism, systemic arterial hypertension, a smoking habit, and decompensated diabetes (glucose level of 490 mg/dL), was admitted to the hospital with a volume increase in the cervical and thoracic areas with a duration of about 7 days. He presented with fever, dyspnea, and inflammatory signs bilaterally in the submandibular, submental, and superior thoracic regions as well as severe trismus. The patient underwent a surgical procedure to drain the infectious process and to place drains. The patient developed cutaneous necrosis in the cervical and superior thoracic regions, diagnosed as NF. Surgical debridement of all affected tissue was performed. After resolution of the infection, the patient underwent skin grafting with a satisfactory outcome. State University of Pernambuco Prosthodontics Specialization Course State University of Sao Paulo UNINASSAU General Hospital of the State of Alagoas General Dentistry, v. 65, n. 4, p. 25-29, 2017. 0363-6771 http://hdl.handle.net/11449/220893 2-s2.0-85026465239 |
| spellingShingle | Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: A case report Cavalcante, Mateus Barros Bacterial infections Neck injuries Necrotizing fasciitis |
| status_str | publishedVersion |
| title | Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: A case report |
| title_full | Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: A case report |
| title_fullStr | Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: A case report |
| title_full_unstemmed | Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: A case report |
| title_short | Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: A case report |
| title_sort | Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: A case report |
| topic | Bacterial infections Neck injuries Necrotizing fasciitis |
| topic_facet | Bacterial infections Neck injuries Necrotizing fasciitis |
| url | http://hdl.handle.net/11449/220893 |