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Case Report

Case Study Case Rep. 2013; 3(1): 26-33


Cervicofacial necrotizing fasciitis: case series and review of the literature

Benjamin Fomete; Charles Ndubissi Ononiwu; Rowland Agbara; Uche Albert Okeke; Kelvin Osaro Idehen; Kelvin Osaro Idehen.

Abstract
Necrotizing fasciitis is a severe, potentially fatal infection involving the subcutaneous soft tissues. It may involve any part of the body, but commonly affect the extremities. . It comprises 2.6% of all head and neck infections. A study that spanned the period from January 2006 to June 2012.Parameters studied include age, sex, medical status, etiology and bacteriology of infection, routine laboratory investigations(Hematology and chemical pathology) including Fasting blood glucose, antimicrobial treatment, and duration of symptom, surgical treatment and complications. There were 4 females and 3 males. The age ranged between 25 to 72 years with a mean of 45 yrs. All the patients had co morbid illnesses with nutritional anemia affecting 5(70%) out of the 7 patients followed by diabetes mellitus that affected 2(27%) patients. The etiological factor was odontogenic in 85 %( 6) of the patients with the lower molars being the culprit. Antimicrobial treatment, debridement, and fasciotomy improved healing. Delay before appropriate treatment had an adverse affect on outcome, and two patients died of septic shock and respiratory obstruction. Early diagnosis and prompt referral can reduce the morbidity of CNF.

Key words: Necrotizing;Fasciitis;Cervicofacial;head and neck



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