Novel management of cervical necrotising fasciitis in a developing country: case report

Salisu, A.; Adeosun, A.A.; Emma-Nzekwue, N.H.; Abubakar, S.B. (2011) Novel management of cervical necrotising fasciitis in a developing country: case report. Journal of Laryngology and Otology, 125 (1). pp. 93-95. ISSN 0022-2151

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    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.

    Item Type: Article
    1. Salisu, A.
    2. Adeosun, A.A.
    3. Emma-Nzekwue, N.H.
    4. Abubakar, S.B.
    Journal or Publication Title: Journal of Laryngology and Otology
    Additional Information: Salisu, A. Adeosun, A. A. Emma-Nzekwue, N. H. Abubakar, S. B.
    Uncontrolled Keywords: Cervical; Necrotizing Fasciitis; Acute Tonsillitis; Conscious Sedation; Debridement; Necrotic Neck Wound; Pharynx disease ; ENT disease ; Connective tissue disease ; Skin disease ; Infection ; Bacteriosis ; Human ; ENT ; Wound ; Sedation ; Acute ; Case study ; Developing countries ; Neck ; Debridment ; Treatment ; Tonsillitis ; Necrotizing fasciitis ;
    Subjects: R Medicine
    Divisions: Faculty of Medicine
    Depositing User: Ms Maisarah Mohd Muksin
    Date Deposited: 12 Nov 2012 09:51
    Last Modified: 12 Nov 2012 09:51

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