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

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

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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
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 01:51
Last Modified: 20 Feb 2020 03:31

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