A case of odontogenic cervical necrotizing fasciitis

Masayuki IWAKI; Naohiro HASHIKAWA; Naoki TANIIKE

doi:10.5794/jjoms.45.832

Japanese Journal of Oral and Maxillofacial Surgery

Online ISSN : 2186-1579
Print ISSN : 0021-5163
ISSN-L : 0021-5163

A case of odontogenic cervical necrotizing fasciitis

Masayuki IWAKI, Naohiro HASHIKAWA, Naoki TANIIKE

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Keywords: odontogenic infection, cervical necrotizing fasciitis, systemic inflammatory response syndrome

JOURNAL FREE ACCESS

1999 Volume 45 Issue 12 Pages 832-834

DOI https://doi.org/10.5794/jjoms.45.832

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Abstract

Cervical necrotizing fasciitis is a rare, severe soft tissue infection. It is usually a polymicrobial infection characterized by rapidly spreading diffuse necrosis of the subcutaneous fatty tissue and fascia. We report a case of odontogenic cervical necrotizing fasciitis in an 80-year-old woman. Despite repeated surgical drainage and antibiotic therapy, severe complications, including coma, ARDS, and DIC, developed, and the patient died of acute renal failure in spite of intensive care.

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