Cervical necrotizing fascitis of odontogenous origin. A case report
Abstract Introduction and objective: Necrotizing soft tissue infections are life-threatening infections. Early diagnosis and treatment are crucial to improve survival. Description: 60-year-old woman with cervical necrotizing fasciitis of odontogenic origin with rapid evolution to septic shock. During admission, he required broad-spectrum antibiotic treatment, systemic support, and several cervicotomies. Discussion: The cervical location accounts for 2.6-5% of necrotizing fasciitis, with a mainly odontogenic and polymicrobial origin. The systemic commitment is disproportionate to the local manifestations. Early surgical treatment is key to survival and can leave large tissue defects. Conclusions: cervical necrotizing fasciitis is a rare entity. Its most common origin is odontogenic infections, but it must also be suspected after a pharyngeal infection. Due to its low incidence and high mortality rate, the index of suspicion for this disease should be high.
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Hakkarainen TW, Kopari NM, Pham TN, et al. Necrotizing soft tissue infections: Review and current concepts in treatment, systems of care, and outcomes. Curr Probl Surg. 2014; 51(8):344–362.
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Sandner A, Moritz S, Unverzagt S, Plontke SK, Metz D. Cervical Necrotizing Fasciitis - The Value of the Laboratory Risk Indicator for Necrotizing Fasciitis Score as an Indicative Parameter. Journal of Oral and Maxillofacial Surgery. 2015; 73(12):2319–2333.
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Rodríguez R, Belizario M, Coca RM, Bermúdez L, et al. Fascitis necrotizante cervicofacial de origen odontogénico. Acta Médica del Centro. 2022; 16(10):716-723.
O’Loughlin RE, Roberson A, Cieslak PR, Lynfield R, Gershman K, Craig A, et al. The epidemiology of invasive group A streptococcal infection and potential vaccine implications: United States, 2000-2004. Clinical Infectious Diseases. 2007; 45(7):853–862.
Bonne S, Kadri SS. Evaluation and Management of Necrotizing Soft Tissue Infections. Infect Dis Clin North Am. 2017; 31(3):497–511.
Parra Caballero P, Pérez Esteban S, Patiño Ruiz ME, Castañeda Sanz S, García Vadillo JA. Actualización en fascitis necrotizante. Semin Fun Esp Reumatol. 2012; 13(2):41–48.
Avanzi RA, Pereira D. M, Kohan Fortuna Figueira SV, Taype Zamboni DR, Barla J, Sancineto CF, et al. Cirugía de conservación y rehabilitación temprana en fascitis necrotizante masiva de miembros inferiores. Rev Fac Cienc Med Córdoba. 2022; 79(1):74–77.
Martínez A, McHenry C, Meneses L. Fasceítis necrosante cervicofacial: Una infección severa que requiere tratamiento quirúrgico temprano. Rev Esp Cir Oral Maxilofac. 2016; 38(1):23–28.
Levett D, Bennett MH, Millar I. Adjunctive hyperbaric oxygen for necrotizing fasciitis. Cochrane Database of Systematic Reviews. 2015; 1.
Silberstein J, Grabowski J, Parsons JK. Use of a Vacuum-Assisted Device for Fournier’s Gangrene: A New Paradigm. Reviews in urology. 2008; 10(1):76-80.
Dhir K, Reino AJ, Lipana J. Vacuum-Assited Closure Therapy in the Management of head and Neck Wounds. Laryngoscope. 2009; 119(1):54-61.
Hakkarainen TW, Kopari NM, Pham TN, et al. Necrotizing soft tissue infections: Review and current concepts in treatment, systems of care, and outcomes. Curr Probl Surg. 2014; 51(8):344–362.
Daszenies CS, Rahal ME, Arregui RV. Fascitis necrotizante de cuello. Re. Otorrinolaringol. Cir. Cabeza Cuello. 2004; 64:247-251.
Stevens DL, Baddour LM. Necrotizing soft tissue infections. UpToDate. Waltham. 2022.
Martínez AY, McHenry CR, Meneses Rivadeneira L. Fasceítis necrosante cervicofacial: Una infección severa que requiere tratamiento quirúrgico temprano. Revista Española de Cirugia Oral y Maxilofacial. 2016; 38(1):23–28.
Sandner A, Moritz S, Unverzagt S, Plontke SK, Metz D. Cervical Necrotizing Fasciitis - The Value of the Laboratory Risk Indicator for Necrotizing Fasciitis Score as an Indicative Parameter. Journal of Oral and Maxillofacial Surgery. 2015; 73(12):2319–2333.
Barría T, Abarca A, Cancino M, Chávez C, et al. Fasceítis necrotizante cervical: Consideraciones para el manejo precoz. Rev. Otorrinolaringol. Cir. Cabeza Cuello. 2018; 78:294-299.
Rodríguez R, Belizario M, Coca RM, Bermúdez L, et al. Fascitis necrotizante cervicofacial de origen odontogénico. Acta Médica del Centro. 2022; 16(10):716-723.
O’Loughlin RE, Roberson A, Cieslak PR, Lynfield R, Gershman K, Craig A, et al. The epidemiology of invasive group A streptococcal infection and potential vaccine implications: United States, 2000-2004. Clinical Infectious Diseases. 2007; 45(7):853–862.
Bonne S, Kadri SS. Evaluation and Management of Necrotizing Soft Tissue Infections. Infect Dis Clin North Am. 2017; 31(3):497–511.
Parra Caballero P, Pérez Esteban S, Patiño Ruiz ME, Castañeda Sanz S, García Vadillo JA. Actualización en fascitis necrotizante. Semin Fun Esp Reumatol. 2012; 13(2):41–48.
Avanzi RA, Pereira D. M, Kohan Fortuna Figueira SV, Taype Zamboni DR, Barla J, Sancineto CF, et al. Cirugía de conservación y rehabilitación temprana en fascitis necrotizante masiva de miembros inferiores. Rev Fac Cienc Med Córdoba. 2022; 79(1):74–77.
Martínez A, McHenry C, Meneses L. Fasceítis necrosante cervicofacial: Una infección severa que requiere tratamiento quirúrgico temprano. Rev Esp Cir Oral Maxilofac. 2016; 38(1):23–28.
Levett D, Bennett MH, Millar I. Adjunctive hyperbaric oxygen for necrotizing fasciitis. Cochrane Database of Systematic Reviews. 2015; 1.
Silberstein J, Grabowski J, Parsons JK. Use of a Vacuum-Assisted Device for Fournier’s Gangrene: A New Paradigm. Reviews in urology. 2008; 10(1):76-80.
Dhir K, Reino AJ, Lipana J. Vacuum-Assited Closure Therapy in the Management of head and Neck Wounds. Laryngoscope. 2009; 119(1):54-61.
Rodríguez-Rodríguez, D., Sanz-Sánchez, C. I., & Cazorla-Ramos, Óscar E. (2024). Cervical necrotizing fascitis of odontogenous origin. A case report. Revista ORL, e31997. https://doi.org/10.14201/orl.31997
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