Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: A case report
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://hdl.handle.net/11449/220893 |
Resumo: | Necrotizing fasciitis (NF) is a severe bacterial infection with rapid and aggressive progression. The infection generally affects individuals with comorbid conditions that lead to immunologic and microvascular deficiencies. It is characterized by necrosis of tissues, mainly in the extremities, trunk, and perineum, and is rarely found in the head and neck. This case report describes the course of NF in a 55-year-old man, highlighting diagnosis, surgical treatment, drug therapy, and supportive measures. The patient, who had chronic alcoholism, systemic arterial hypertension, a smoking habit, and decompensated diabetes (glucose level of 490 mg/dL), was admitted to the hospital with a volume increase in the cervical and thoracic areas with a duration of about 7 days. He presented with fever, dyspnea, and inflammatory signs bilaterally in the submandibular, submental, and superior thoracic regions as well as severe trismus. The patient underwent a surgical procedure to drain the infectious process and to place drains. The patient developed cutaneous necrosis in the cervical and superior thoracic regions, diagnosed as NF. Surgical debridement of all affected tissue was performed. After resolution of the infection, the patient underwent skin grafting with a satisfactory outcome. |
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Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: A case reportBacterial infectionsNeck injuriesNecrotizing fasciitisNecrotizing fasciitis (NF) is a severe bacterial infection with rapid and aggressive progression. The infection generally affects individuals with comorbid conditions that lead to immunologic and microvascular deficiencies. It is characterized by necrosis of tissues, mainly in the extremities, trunk, and perineum, and is rarely found in the head and neck. This case report describes the course of NF in a 55-year-old man, highlighting diagnosis, surgical treatment, drug therapy, and supportive measures. The patient, who had chronic alcoholism, systemic arterial hypertension, a smoking habit, and decompensated diabetes (glucose level of 490 mg/dL), was admitted to the hospital with a volume increase in the cervical and thoracic areas with a duration of about 7 days. He presented with fever, dyspnea, and inflammatory signs bilaterally in the submandibular, submental, and superior thoracic regions as well as severe trismus. The patient underwent a surgical procedure to drain the infectious process and to place drains. The patient developed cutaneous necrosis in the cervical and superior thoracic regions, diagnosed as NF. Surgical debridement of all affected tissue was performed. After resolution of the infection, the patient underwent skin grafting with a satisfactory outcome.State University of PernambucoProsthodontics Specialization Course State University of Sao PauloUNINASSAUGeneral Hospital of the State of AlagoasState University of PernambucoUniversidade de São Paulo (USP)UNINASSAUGeneral Hospital of the State of AlagoasCavalcante, Mateus BarrosDe Oliveira Lima, Amanda LaisaMoreira, Raphael TeixeiraDe Oliveira E Silva, Emanuel DiasDe Lira Castelo Branco, Bruno2022-04-28T19:06:40Z2022-04-28T19:06:40Z2017-07-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article25-29General Dentistry, v. 65, n. 4, p. 25-29, 2017.0363-6771http://hdl.handle.net/11449/2208932-s2.0-85026465239Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengGeneral Dentistryinfo:eu-repo/semantics/openAccess2022-04-28T19:06:40Zoai:repositorio.unesp.br:11449/220893Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-06T00:07:24.335597Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: A case report |
title |
Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: A case report |
spellingShingle |
Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: A case report Cavalcante, Mateus Barros Bacterial infections Neck injuries Necrotizing fasciitis |
title_short |
Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: A case report |
title_full |
Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: A case report |
title_fullStr |
Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: A case report |
title_full_unstemmed |
Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: A case report |
title_sort |
Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: A case report |
author |
Cavalcante, Mateus Barros |
author_facet |
Cavalcante, Mateus Barros De Oliveira Lima, Amanda Laisa Moreira, Raphael Teixeira De Oliveira E Silva, Emanuel Dias De Lira Castelo Branco, Bruno |
author_role |
author |
author2 |
De Oliveira Lima, Amanda Laisa Moreira, Raphael Teixeira De Oliveira E Silva, Emanuel Dias De Lira Castelo Branco, Bruno |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
State University of Pernambuco Universidade de São Paulo (USP) UNINASSAU General Hospital of the State of Alagoas |
dc.contributor.author.fl_str_mv |
Cavalcante, Mateus Barros De Oliveira Lima, Amanda Laisa Moreira, Raphael Teixeira De Oliveira E Silva, Emanuel Dias De Lira Castelo Branco, Bruno |
dc.subject.por.fl_str_mv |
Bacterial infections Neck injuries Necrotizing fasciitis |
topic |
Bacterial infections Neck injuries Necrotizing fasciitis |
description |
Necrotizing fasciitis (NF) is a severe bacterial infection with rapid and aggressive progression. The infection generally affects individuals with comorbid conditions that lead to immunologic and microvascular deficiencies. It is characterized by necrosis of tissues, mainly in the extremities, trunk, and perineum, and is rarely found in the head and neck. This case report describes the course of NF in a 55-year-old man, highlighting diagnosis, surgical treatment, drug therapy, and supportive measures. The patient, who had chronic alcoholism, systemic arterial hypertension, a smoking habit, and decompensated diabetes (glucose level of 490 mg/dL), was admitted to the hospital with a volume increase in the cervical and thoracic areas with a duration of about 7 days. He presented with fever, dyspnea, and inflammatory signs bilaterally in the submandibular, submental, and superior thoracic regions as well as severe trismus. The patient underwent a surgical procedure to drain the infectious process and to place drains. The patient developed cutaneous necrosis in the cervical and superior thoracic regions, diagnosed as NF. Surgical debridement of all affected tissue was performed. After resolution of the infection, the patient underwent skin grafting with a satisfactory outcome. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-07-01 2022-04-28T19:06:40Z 2022-04-28T19:06:40Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
General Dentistry, v. 65, n. 4, p. 25-29, 2017. 0363-6771 http://hdl.handle.net/11449/220893 2-s2.0-85026465239 |
identifier_str_mv |
General Dentistry, v. 65, n. 4, p. 25-29, 2017. 0363-6771 2-s2.0-85026465239 |
url |
http://hdl.handle.net/11449/220893 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
General Dentistry |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
25-29 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808129586305695744 |