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Novel management of cervical necrotising fasciitis in a developing country: case report
Published online by Cambridge University Press: 12 October 2010
Abstract
Objective:
We report a rare case of cervical necrotising fasciitis arising from poorly managed acute tonsillitis.
Case report:
A 23-year-old woman presented with a two-week history of fever and an eight-day history of painful neck swelling. Nine days before presentation, she had received digital manipulation of her throat by a neighbour, which had worsened her throat pain. There was associated progressive generalised neck swelling, odynophagia, dysphagia and dyspnoea. An X-ray of the neck soft tissue showed multiple gas collections.
Conclusion:
Cervical necrotising fasciitis is rare and usually odontogenic in origin. It is associated with a high mortality rate. Our patient responded to aggressive daily bedside wound debridements and dressings, appropriate intravenous antibiotics and high-protein nutritional support. In this way, exploration under general anaesthesia was avoided, in a developing country with limited facilities.
Keywords
Information
- Type
- Clinical Records
- Information
- Copyright
- Copyright © JLO (1984) Limited 2010
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