Adoga A S, Otene A A, Yiltok S J, Adekwu A, Nwaorgu O G B
Department of Surgery (ENT Unit), Jos University Teaching Hospital, Jos, Plateau State, Nigeria.
Niger J Med. 2009 Apr-Jun;18(2):203-7. doi: 10.4314/njm.v18i2.45066.
Cervical necrotizing fasciitis is a fatal and rapid multi- bacteria infection causing extensive necrosis of the subcutaneous tissues and fascial planes with resultant skin gangrene and associated systemic manifestation. The aim of the present study is to report four cases of cervical necrotizing fascitis highlighting their source.
The case notes of the patients were retrieved and reviewed, literature search was done using Medline, journals available and various texts.
Most often the cause of cervical necrotizing fascitis is of dental origin. The diagnosis depends mainly on clinical features and a high index of suspicion because the clinical features maybe innocuous at the early stage.
Despite aggressive management with liberal wound debridement, intravenous antibiotics, and nutritional support, the mortality was still high due to late presentation.
颈部坏死性筋膜炎是一种致命且进展迅速的多细菌感染，可导致皮下组织和筋膜平面广泛坏死，进而引起皮肤坏疽及相关全身表现。本研究旨在报告4例颈部坏死性筋膜炎病例，并突出其感染源。
检索并回顾患者的病历记录，通过医学文献数据库（Medline）、现有期刊及各类文献进行文献检索。
颈部坏死性筋膜炎最常见的病因源于牙科。诊断主要依赖临床特征及高度怀疑指数，因为早期临床特征可能并不明显。
尽管采取了积极的治疗措施，包括广泛的伤口清创、静脉使用抗生素及营养支持，但由于就诊延迟，死亡率仍然很高。
