Cervical necrotizing fasciitis is a fast spreading acute soft tissue inflammation. Death can occur within 12–24 h. Early identification and treatment is needed. Citation: Lambade PN, Dolas RS, Virani N, Lambade DP () Cervicofacial Necrotising Fasciitis of Odontogenic Origin: A Review. Necrotizing fascitis is rapidly spreading soft tissue infection involving the subcutaneous tissues. Cervicofacial necrotizing fasciitis (CNF) is rare complication from.

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What became of the flesh-eating bug?

Necrotizing fasciitis

Report of three cases and literature review. Intravenous penicillin, gentamicin, and clindamycin were administered initially.

Archived from the original on 20 June However, the scoring system has not been validated. In NF of the face and scalp, even minor trauma is independently more strongly associated with the condition than infection.

Minor trauma triggering cervicofacial necrotizing fasciitis from odontogenic abscess

The study showed no difference in mortality with use of this therapy, but it is difficult to draw definitive conclusions due to low-quality evidence. On the left side, there was a blackish discoloration over the cheek [ Figure 3 ].

Review of the literature and report of a case. This report highlights the fact that minor trauma in the form of heat could be a precipitating factor in causing NF in a patient with simple neck space infection of odontogenic origin.


This classification system was first described by Giuliano and his colleagues in Subsequent culture from different tissue samples sent during the repeated debridements grew Klebsiella sp.

This could be due to increasing awareness of this condition, leading to increased reporting, or bacterial virulence or increasing bacterial resistance against antibiotics.

Cervico-facial necrotizing fasciitis.

Those with clostridial infections typically have severe pain at the wound site, where the wound typically drains foul-smelling blood mixed with serum serosanguinous discharge.

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Increasing fqsciitis of necrosis of cervicofacial skin and subcutaneous tissue on right side. Retrieved 28 May InDr Jean-Alfred Fournier described the necrotizing infection of the perineum and scrotum which termed as Fournier gangrene today.

Cervicofacial NF fascciitis a rare but potentially fatal disease if not diagnosed and treated in the early stages. The organism most commonly isolated in this form of the disease are group A beta-hemolytic streptococci, either alone or in combination with Staphylococcus aureus.

These changes occurred very rapidly over 2 days. Prostaglandin has been responsible for fever, inflammation, and pain. Ultrasound of the Week.

Retrieved 10 May However, this is the only case of NF in the cervicofacial region that we were able to locate from the records of the last decade. Necrotizing fasciitis NF is a rapidly spreading infection involving the superficial fat and fascial layers; it initially spares skin and muscle.


Intravenous ciprofloxacin was substituted for penicillin after the culture and sensitivity report became available; gentamycin and clindamycin were continued. Gangrene Bacterial diseases Disorders of fascia Inflammations Bacterium-related cutaneous conditions Necrosis Rare diseases.

Sign in to access your subscriptions Sign in to your personal account. Later, “hospital gangrene” became more commonly used. Role of CT in diagnosis and management.

One study assessed the efficacy of cervicofaclal new type of treatment that affects the immune response, called AB Type II infection more commonly affects young, healthy adults with a history of injury. Archived from the original on 29 June In some cases when an extremity is affected by a NSTI, amputation may be the surgical treatment of choice. The values would be falsely positive if any other inflammatory conditions are present. Author information Article notes Copyright and License information Disclaimer.

Spreading of infection through blood has been suggested for those with streptococcal pharyngitis.