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智齿拔除术后坏死性筋膜炎和纵隔炎:一例报告

Necrotizing Fasciitis and Mediastinitis after Wisdom Tooth Extraction: A Case Report.

作者信息

Edwards Jennifer, Fisher Ryan, Vempati Amrita

机构信息

Creighton University School of Medicine Phoenix Program, Maricopa Medical Center, Department of Emergency Medicine, Phoenix, AZ.

出版信息

J Educ Teach Emerg Med. 2020 Oct 15;5(4):V1-V5. doi: 10.21980/J8XW7K. eCollection 2020 Oct.

DOI:10.21980/J8XW7K
PMID:37465329
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10332516/
Abstract

UNLABELLED

Necrotizing soft tissue infections with mediastinal extension are exceedingly rare. This submission provides dynamic and static visual stimuli (CT images) and a case report describing the history of present illness, initial ED presentation and inpatient course of a 33-year-old man who developed facial necrotizing fasciitis complicated by mediastinitis secondary to odontogenic infection following wisdom tooth extraction. Discussion of the key features of this rare presentation, the diagnostic and therapeutic approaches to making the diagnosis (including CT), and the role of the Emergency Physician, are highlighted.

TOPICS

Necrotizing fasciitis, necrotizing mediastinitis, odontogenic infection, CT scan.

摘要

未标注

伴有纵隔扩展的坏死性软组织感染极为罕见。本文提供了动态和静态视觉刺激(CT图像)以及一例病例报告,描述了一名33岁男性的现病史、急诊初诊情况及住院病程,该患者在拔除智齿后发生牙源性感染,继而发展为面部坏死性筋膜炎并并发纵隔炎。文中重点讨论了这种罕见表现的关键特征、诊断方法(包括CT)及治疗措施,以及急诊医生的作用。

主题

坏死性筋膜炎、坏死性纵隔炎、牙源性感染、CT扫描

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96c9/10332516/f4b1080070ea/jetem-5-4-v1f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96c9/10332516/c3c8ec534a7b/jetem-5-4-v1f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96c9/10332516/f4b1080070ea/jetem-5-4-v1f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96c9/10332516/c3c8ec534a7b/jetem-5-4-v1f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96c9/10332516/f4b1080070ea/jetem-5-4-v1f2.jpg

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引用本文的文献

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[Necrotizing fasciitis: review and case report].[坏死性筋膜炎:综述与病例报告]
Rev Cient Odontol (Lima). 2024 Nov 23;12(4):e224. doi: 10.21142/2523-2754-1204-2024-224. eCollection 2024 Oct-Dec.

本文引用的文献

1
Time is of the essence when treating necrotizing soft tissue infections: a systematic review and meta-analysis.治疗坏死性软组织感染时时间至关重要:系统评价和荟萃分析。
World J Emerg Surg. 2020 Jan 8;15:4. doi: 10.1186/s13017-019-0286-6. eCollection 2020.
2
Cervical necrotizing fasciitis: Systematic review and analysis of 1235 reported cases from the literature.宫颈坏死性筋膜炎:文献报道的 1235 例病例的系统回顾和分析。
Head Neck. 2018 Sep;40(9):2094-2102. doi: 10.1002/hed.25184. Epub 2018 Jun 22.
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Necrotizing Soft-Tissue Infections.
坏死性软组织感染
N Engl J Med. 2017 Dec 7;377(23):2253-2265. doi: 10.1056/NEJMra1600673.
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Evaluation and Management of Necrotizing Soft Tissue Infections.坏死性软组织感染的评估与管理
Infect Dis Clin North Am. 2017 Sep;31(3):497-511. doi: 10.1016/j.idc.2017.05.011.
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Laboratory risk indicator for necrotising fasciitis (LRINEC) score for the assessment of early necrotising fasciitis: a systematic review of the literature.用于评估早期坏死性筋膜炎的坏死性筋膜炎实验室风险指标(LRINEC)评分:文献系统评价
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Necrotizing soft tissue infections: review and current concepts in treatment, systems of care, and outcomes.坏死性软组织感染:治疗、护理系统及预后的综述与当前概念
Curr Probl Surg. 2014 Aug;51(8):344-62. doi: 10.1067/j.cpsurg.2014.06.001. Epub 2014 Jun 12.
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Clin Infect Dis. 2014 Jul 15;59(2):e10-52. doi: 10.1093/cid/ciu444.
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Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America.美国传染病学会关于皮肤和软组织感染的诊断和管理实践指南:2014 年更新。
Clin Infect Dis. 2014 Jul 15;59(2):147-59. doi: 10.1093/cid/ciu296. Epub 2014 Jun 18.
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Retrospective evaluation of laboratory-based diagnostic tools for cervical necrotizing fasciitis.回顾性评估基于实验室的宫颈坏死性筋膜炎诊断工具。
Laryngoscope. 2012 Dec;122(12):2683-7. doi: 10.1002/lary.23680. Epub 2012 Sep 19.
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Cervical necrotizing fasciitis with descending mediastinitis: literature review and case report.伴有下行性纵隔炎的颈部坏死性筋膜炎:文献综述与病例报告
J Oral Maxillofac Surg. 2012 Jun;70(6):1342-50. doi: 10.1016/j.joms.2011.05.007. Epub 2011 Aug 6.