Almaguer Acevedo Fernando Miguel, Hernandez Cervantes Barbara Yordanis, Ketemepi Gabriel Victor Doe, Martinez Lopez Duniesky
Department of Surgery, School of Medicine, University of Health and Allied Sciences, Ho, Volta Region, Ghana.
Department of Internal Medicine, School of Medicine, University of Health and Allied Sciences, Ho, Volta Region, Ghana.
J Surg Case Rep. 2021 Nov 29;2021(11):rjab481. doi: 10.1093/jscr/rjab481. eCollection 2021 Nov.
Cervical necrotizing fasciitis represents an aggressive form of deep neck space infection with a high mortality rate. The origin is generally odontogenic, in most cases, resulting from a dental abscess. A series of three cases developed after local application of herbal medicine in patients with no co-morbidities and with a history of a toothache in the lower quadrants for >2 weeks is presented. All patients were managed with antibiotics, extraction of offending tooth and serial wound debridement. Two patients recovered with a resultant skin defect on the neck and one died due to multiple organ failure. This case series demonstrated that early diagnosis, prompt surgical intervention and appropriate medical treatment are very important to increase patient survival. Late report to hospital because of financial constraints and over-reliance on herbal preparation could lead to the development of serious complication in patients with dental infections and could even lead to death of the patient.
颈部坏死性筋膜炎是一种侵袭性的深部颈部间隙感染，死亡率很高。其病因通常为牙源性，在大多数情况下，由牙脓肿引起。本文报告了3例病例，这些病例发生在无合并症且有下象限牙痛病史超过2周的患者局部应用草药后。所有患者均接受了抗生素治疗、拔除患牙及系列伤口清创术。2例患者康复，但颈部遗留皮肤缺损，1例因多器官衰竭死亡。该病例系列表明，早期诊断、及时的手术干预和适当的药物治疗对于提高患者生存率非常重要。由于经济限制和过度依赖草药制剂而延迟就医，可能导致牙科感染患者出现严重并发症，甚至导致患者死亡。
