Vaid Neelam, Kothadiya Ajay, Patki Subhash, Kanhere Harsh
Dept of Otorhinolaryngology, Director of Surgery, Lecturer in Surgery, Dept of Surgery, K.E.M. Hospital, Pune.
Indian J Otolaryngol Head Neck Surg. 2002 Apr;54(2):143-5. doi: 10.1007/BF02968735.
Necrotising fasciitis is a fulminant soft tissue infection that causes necrosis of fascia and subcutaneous tissue while sparing skin and muscle initially. It is most commonly seen in adults involving the perineum, extremities and and minal wall. Immunncompromised patients are at an increased risk of developing this infection. These infections require early diagnosis, aggressive surgical debridaient and appropriate antibiotic therapy. Mortality rates have been reported to be as high as 52 and 73% in general surgery literature.(Freuschtag et al, 1985., Rouse et at 1982).Necrotising fasciitis of the head and neck is rare. The commonest cause is secondary to denial infections. We report a case of necrotising fasciitis of the neck secondary to a peritonsillar abscess in a previously healthy individual. The pathogenesis and treatment of this fulminant infection are also discussed.
坏死性筋膜炎是一种暴发性软组织感染，可导致筋膜和皮下组织坏死，最初不累及皮肤和肌肉。它最常见于成人，累及会阴、四肢和盆腔壁。免疫功能低下的患者发生这种感染的风险增加。这些感染需要早期诊断、积极的手术清创和适当的抗生素治疗。普通外科文献报道的死亡率高达52%和73%。（弗罗伊施塔格等人，1985年。劳斯等人，1982年）。头颈部坏死性筋膜炎罕见。最常见的原因是继发于牙源性感染。我们报告一例先前健康个体因扁桃体周围脓肿继发颈部坏死性筋膜炎的病例。还讨论了这种暴发性感染的发病机制和治疗方法。
