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颈胸段牙源性放线菌性坏死性筋膜炎：一例报告

Odontogenic Actinomycotic Necrotizing Fasciitis of Cervicothoracic Region: A Case Report.

作者信息

Francis Glynis, Vigneswaran K, Gokul S, David Charisha, Nalamate Rajarajeswari, Vasanthi N, Venkatesan Sithanandakumar

机构信息

Department of ENT, Pondicherry Institute of Medical Sciences, Pondicherry, India.

Department of General Medicine, PIMS, Pondicherry, India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Dec;76(6):5857-5860. doi: 10.1007/s12070-024-04919-x. Epub 2024 Aug 1.

DOI:10.1007/s12070-024-04919-x
PMID:39559035
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11569287/
Abstract

We report an uncommon odontogenic actinomycotic cervicothoracic Nectrotizing Fasciitis (NF), treated with tracheostomy, immediate surgical debridement and antibiotics. Red flags for early identification, LRINEC scoring for prognostication, surgical debridement with aerobic & anaerobic culture specific antibiotics to improve survival in this life-threatening cervicothoracic NF in a young diabetic is discussed.

摘要

我们报告了一例罕见的牙源性放线菌性颈胸坏死性筋膜炎（NF），采用气管切开术、即刻手术清创和抗生素进行治疗。文中讨论了早期识别的警示信号、用于预后评估的LRINEC评分、针对需氧和厌氧培养的特异性抗生素进行手术清创，以提高一名年轻糖尿病患者在这种危及生命的颈胸NF中的生存率。

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本文引用的文献

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Cervical Necrotizing Fasciitis, Diagnosis and Treatment of a Rare Life-Threatening Infection.颈部坏死性筋膜炎：一种罕见的危及生命感染的诊断与治疗
Ear Nose Throat J. 2023 Mar;102(3):NP109-NP113. doi: 10.1177/0145561321991341. Epub 2021 Feb 11.
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Necrotizing fasciitis of the entire head and neck: Literature review and case report.全头颈部坏死性筋膜炎：文献综述与病例报告
Biomed J. 2020 Feb;43(1):94-98. doi: 10.1016/j.bj.2019.08.002. Epub 2020 Feb 27.
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Br J Surg. 2014 Jan;101(1):e119-25. doi: 10.1002/bjs.9371. Epub 2013 Nov 29.
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Necrotising fasciitis of the neck.颈部坏死性筋膜炎
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