A Case of Necrotizing Soft-tissue Infections Accompanied with Broad Necrosis of Buccal Skin and Subcutaneous Tissue

Abstract

Necrotizing soft-tissue infections (NSTIs) are defined as infections of any of the layers within the soft tissue compartment that are associated with necrotizing changes. NSTIs are clasified into two clinical forms, gas gangrene (clostridial-, non clostridial-myonecrosis) and necrotizing fasciitis. NSTIs occurring after odontogenic infections are usually a mixed infection caused by anaerobic and aerobic bacteria. In this study, we present the case of a patient with rheumatoid arthritis under steroid treatment complicated by facial NSTIs with broad and profound necrosis of the buccal skin and subcutaneous tissues following tooth extraction.