Arruda José Alcides, Figueiredo Eugênia, Álvares Pâmella, Silva Luciano, Silva Leorik, Caubi Antônio, Silveira Marcia, Sobral Ana Paula
Faculdade de Odontologia de Pernambuco, Universidade de Pernambuco, Avenida General Newton Cavalcante, 1650 Aldeia dos Camarás, 54753-020 Camaragibe, PE, Brazil.
Hospital da Restauração, Avenida Governador Agamenon Magalhães, S/N, Derby, 52010-040 Recife, PE, Brazil.
Case Rep Dent. 2016;2016:1674153. doi: 10.1155/2016/1674153. Epub 2016 Jun 8.
Cervical necrotizing fasciitis is an unusual infection characterized by necrosis of the subcutaneous tissue and fascial layers. Risk factors for the development of necrotizing fasciitis include diabetes mellitus, chronic renal disease, peripheral vascular disease, malnutrition, advanced age, obesity, alcohol abuse, intravenous drug use, surgery, and ischemic ulcers. This report presents a case of necrotizing fasciitis in the cervical area caused by dental extraction in a 73-year-old woman. Cervical necrotizing fasciitis in geriatric patient is rare, and even when establishing the diagnosis and having it timely treated, the patient can suffer irreversible damage or even death. Clinical manifestations in the head and neck usually have an acute onset characterized by severe pain, swelling, redness, erythema, presence of necrotic tissue, and in severe cases obstruction of the upper airways. Therefore, the presentation of this clinical case can serve as guidance to dentists as a precaution to maintain an aseptic chain and be aware of the clinical condition of older patients and the systemic conditions that may increase the risk of infections.
颈部坏死性筋膜炎是一种罕见的感染性疾病，其特征为皮下组织和筋膜层坏死。坏死性筋膜炎的发病风险因素包括糖尿病、慢性肾病、外周血管疾病、营养不良、高龄、肥胖、酗酒、静脉药物滥用、手术以及缺血性溃疡。本报告介绍了一例73岁女性因拔牙引发颈部坏死性筋膜炎的病例。老年患者发生颈部坏死性筋膜炎较为罕见，即便确诊并及时治疗，患者仍可能遭受不可逆的损伤甚至死亡。头颈部的临床表现通常急性起病，其特征为剧痛、肿胀、发红、红斑、坏死组织的出现，严重时可导致上呼吸道梗阻。因此，本临床病例的呈现可为牙医提供指导，作为一种预防措施，以维持无菌操作链，并了解老年患者的临床状况以及可能增加感染风险的全身状况。
