Cervical Necrotizing Fasciitis Caused by Dental Infection
송치웅, 윤현중, 정다운, 이상화,
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송치웅 ( Song Chi-Woong ) - Catholic University School of Medicine Yeouido St. Mary’s Hospital Department of Oral and Maxillofacial Surgery
윤현중 ( Yoon Hyun-Joong ) - Catholic University School of Medicine Yeouido St. Mary’s Hospital Department of Oral and Maxillofacial Surgery
정다운 ( Jung Da-Woon ) - Catholic University School of Medicine Yeouido St. Mary’s Hospital Department of Oral and Maxillofacial Surgery
이상화 ( Lee Sang-Hwa ) - Catholic University School of Medicine Yeouido St. Mary’s Hospital Department of Oral and Maxillofacial Surgery
KMID : 1036320140360020067
Abstract
Necrotizing fasciitis (NF) is defined as rapidly progressive necrosis of subcutaneous fat and fascia. Although NF of the face is rare, its mortality rate is nearly 30%. It usually originates from dental infection and can lead to involvement of the neck, mediastinum, and chest wall. Complications resulting from pre-existing systemic diseases can increase the mortality rate. Known complication factors for NF include diabetes, malnutrition, advanced age, peripheral vascular disease, renal failure, and obesity. Here, we report a case of NF originating from dental infection in an 88-year-old woman already diagnosed with hypertension, thoracic aortic aneurysm, and renal diseases. Such conditions limited adequate surgical and antibiotic treatment. However, interdisciplinary treatment involving multiple departments was implemented with good results.
키워드
Necrotizing fasciitis; Thoracic aortic aneurysm
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