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源自牙源性感染的颈面部坏死性筋膜炎：两例报告

Cervicofacial Necrotizing Fasciitis Originating From Odontogenic Infections: A Report of Two Cases.

作者信息

Wahbi Hanan, Barber Raqi, Mando Sana, Eid Raghed, Kochaji Nabil

机构信息

Oral Pathology and Histology, Damascus University, Damascus, SYR.

Dentistry, Damascus University, Damascus, SYR.

出版信息

Cureus. 2024 Sep 27;16(9):e70305. doi: 10.7759/cureus.70305. eCollection 2024 Sep.

DOI:10.7759/cureus.70305
PMID:39463624
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11512741/
Abstract

Cervicofacial necrotizing fasciitis (CNF) is infrequently reported to originate from odontogenic infections. Even with such rarity, its development is potentially life-threatening. The current report aims to demonstrate how severe and risky the consequences of odontogenic infections are. This report presents two clinically diagnosed necrotizing fasciitis (NF) cases. The first case is a 33-year-old man suffering diffusing pain upon palpating submandibular regions with necrotic black skin after experiencing red skin and gaseous infiltration. He required skin grafting, post-healing esthetic surgeries. The second case is a 14-year-old girl with malnutrition who displayed evident necrosis in the soft tissue of the cervicofacial region. Bacteriological examinations were done, and intravenous antibiotic treatment was administered to the patient. This case highlights that dental infections are probably found to activate serious complications in certain cases; early clinical diagnosis is extremely essential in such cases. Besides, immediate surgical interference, accompanied by antibiotic therapy, plays a decisive role in treatment success.

摘要

颈面部坏死性筋膜炎（CNF）很少被报道起源于牙源性感染。即便如此罕见，其发展仍可能危及生命。本报告旨在证明牙源性感染的后果有多严重和危险。本报告介绍了两例临床诊断为坏死性筋膜炎（NF）的病例。第一例是一名33岁男性，在经历皮肤发红和气态浸润后，触诊下颌下区域时出现弥漫性疼痛，皮肤坏死呈黑色。他需要进行植皮手术以及愈合后的美容手术。第二例是一名14岁营养不良的女孩，其颈面部软组织出现明显坏死。进行了细菌学检查，并对患者进行了静脉抗生素治疗。该病例强调，在某些情况下，牙科感染可能会引发严重并发症；在此类病例中早期临床诊断极为重要。此外，立即进行手术干预并辅以抗生素治疗，对治疗成功起着决定性作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc0/11512741/c8e8648c5a89/cureus-0016-00000070305-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc0/11512741/1752df0dd3d6/cureus-0016-00000070305-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc0/11512741/b677df2f2c7e/cureus-0016-00000070305-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc0/11512741/e93ba126f1f6/cureus-0016-00000070305-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc0/11512741/a59444c7a081/cureus-0016-00000070305-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc0/11512741/b7ef055af235/cureus-0016-00000070305-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc0/11512741/f9c37a673f56/cureus-0016-00000070305-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc0/11512741/c8e8648c5a89/cureus-0016-00000070305-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc0/11512741/1752df0dd3d6/cureus-0016-00000070305-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc0/11512741/b677df2f2c7e/cureus-0016-00000070305-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc0/11512741/e93ba126f1f6/cureus-0016-00000070305-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc0/11512741/a59444c7a081/cureus-0016-00000070305-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc0/11512741/b7ef055af235/cureus-0016-00000070305-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc0/11512741/f9c37a673f56/cureus-0016-00000070305-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc0/11512741/c8e8648c5a89/cureus-0016-00000070305-i07.jpg

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