Cervicofacial necrotizing fasciitis

被引：14
|
作者：
Hohlweg-Majert, Bettina [1 ]
Weyer, Nils [1 ]
Metzger, Marc C. [1 ]
Schoen, Ralf [1 ]
机构：
[1] Univ Hosp Freiburg, Dept Oral & Maxillofacial Surg, D-79106 Freiburg, Germany
来源：
DIABETES RESEARCH AND CLINICAL PRACTICE | 2006年 / 72卷 / 02期
关键词：
cervicofacial fasciitis; dentogenous complications; radiology; surgical debridement;
D O I：
10.1016/j.diabres.2005.09.012
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Cervical necrotizing fasciitis is a fast spreading acute soft tissue inflammation. Death can occur within 12-24 h. Early identification and treatment is needed. We report the case of a 75 year old woman with diabetes and high cholesterol, adipositas who developed cervical necrotizing fasciitis of odotongenic origin with massive subcutaneous air collection and first sign of septicaemia. Surgical treatment with debridement and drainage in combination with intravenous broadbased antibiotics as well as daily irrigation of the wound with iodine solution (Betaisodona (R)) and metronidazol (local antibiotic treatment) was performed. The patient recovered completely. Surgical debridement combined with broad-spectrum of antibiotics showed satisfying result for the management of cervical necrotizing fasciitis of dentogenous origin. (c) 2005 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码：206 / 208
页数：3
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