Document Detail

Craniocervical necrotizing fasciitis secondary to parotid gland abscess.
MedLine Citation:
PMID:  12953775     Owner:  NLM     Status:  MEDLINE    
Necrotizing fasciitis is a potentially fatal soft-tissue infection that predominantly affects the abdominal wall, perineum and extremities. It is an uncommon clinical entity in the head and neck region and an exhaustive review of the English language literature disclosed reports on approximately 160 cases. Dental pathology, post-traumatic or iatrogenic skin or mucosa injuries and parapharyngeal or peritonsillar infections were the most frequently described origins. We describe herein the first case of craniocervical necrotizing fasciitis (CCNF) due to a parotid gland abscess. The patient was successfully treated with i.v. broad-spectrum antibiotic therapy and an aggressive surgical approach (drainage of the parotid abscess and exploration of the neck, with drainage and debridement of necrotic tissue). Effective management of CCNF depends on a prompt diagnosis. Intravenous broad-spectrum antibiotic therapy should be instituted immediately. Antibiotic coverage can be narrowed once the culture results are obtained. Aggressive surgical intervention is necessary, involving wide incision, adequate exploration of deep neck spaces and debridement of necrotic tissue until healthy bleeding tissue is encountered.
Gino Marioni; Raffaele Bottin; Alberto Tregnaghi; Marco Boninsegna; Alberto Staffieri
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta oto-laryngologica     Volume:  123     ISSN:  0001-6489     ISO Abbreviation:  Acta Otolaryngol.     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-09-04     Completed Date:  2003-10-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370354     Medline TA:  Acta Otolaryngol     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  737-40     Citation Subset:  IM    
Department of Otolaryngology-Head and Neck Surgery, University of Padua, Padua, Italy.
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MeSH Terms
Abscess / diagnosis*,  microbiology,  therapy
Anti-Bacterial Agents / therapeutic use
Debridement / methods
Drainage / methods
Fasciitis, Necrotizing / diagnosis*,  microbiology,  therapy*
Parotitis / diagnosis*,  microbiology,  therapy
Staphylococcal Infections / complications,  diagnosis*,  therapy
Staphylococcus epidermidis*
Treatment Outcome
Reg. No./Substance:
0/Anti-Bacterial Agents

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