Edwards Jennifer, Fisher Ryan, Vempati Amrita
Creighton University School of Medicine Phoenix Program, Maricopa Medical Center, Department of Emergency Medicine, Phoenix, AZ.
J Educ Teach Emerg Med. 2020 Oct 15;5(4):V1-V5. doi: 10.21980/J8XW7K. eCollection 2020 Oct.
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.
Necrotizing fasciitis, necrotizing mediastinitis, odontogenic infection, CT scan.
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。
坏死性筋膜炎、坏死性纵隔炎、牙源性感染、CT扫描