Mohammedi I, Ceruse P, Fontaine P, Védrinne J M, Moreon A H, Motin J
Service de Réanimation, Hôpital Edouard-Herriot, Lyon.
Ann Otolaryngol Chir Cervicofac. 1997;114(6):228-30.
Necrotizing fasciitis is a rapidly progressing necrotizing process which affects subcutaneous tissue and fascia. The leading cause of these infections in neck is odontogenic infection. Its occurrence is reported to be rare, but often fatal. The therapeutic regimen includes three essential principles: appropriate antimicrobial therapy, prompt surgical treatment, and supportive measures. Two cases of cervical necrotizing fasciitis revealing human immunodeficiency virus (HIV) infection are reported. Clinicians should be aware of this underlying condition, and every patient with cervical necrotizing fasciitis should be tested for HIV.
坏死性筋膜炎是一种迅速进展的坏死性疾病,可累及皮下组织和筋膜。颈部这些感染的主要原因是牙源性感染。据报道,其发病率很低,但往往是致命的。治疗方案包括三个基本原则:适当的抗菌治疗、及时的手术治疗和支持措施。本文报告了两例显示人类免疫缺陷病毒(HIV)感染的颈部坏死性筋膜炎病例。临床医生应了解这种潜在疾病,每例颈部坏死性筋膜炎患者都应进行HIV检测。