Publication: Nonodontogenic Cervical Necrotizing Fasciitis Caused by Sialadenitis.
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Date
2016-01-01
Authors
VURAL, O
VEYSELLER, B
YENIGUN, A
Ozturan, ORHAN
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Abstract
The term necrotizing fasciitis was described initially by Wilson in the 1950s [1]. Necrotizing fasciitis is a rapid spreading
disease of the soft tissue, which includes the superficial fascia
and subcutaneous layer of tissue [2–4]. Necrotizing fasciitis
is associated with some situations in which the immune
system is compromised, including diabetes mellitus (DM),
elderly, acute, or chronic renal disease, postpartum period,
alcoholism, intravenous (IV) drug use, malnutrition, malignancy, peripheral vascular disease, and radiation exposure
[5]. Necrotizing fasciitis diagnosis is based on certain clinical
features that include fulminant progression, presence of greyblack necrotic area, and easy separation of the superficial
layers of the underlying tissue [2, 6]. Necrotizing fasciitis
can emerge from a local infection region after a minor
trauma, which leads to the entrance of site of the infection.
The exact etiology of one-third of the necrotizing fasciitis
patients is not clear [2, 3, 6]. If necrotizing fasciitis is not
diagnosed and treated early, it is potentially a fatal disease
[4, 7, 8]. This situation is based on the absence of early
clinical findings, rapid progression of the disease, and the
delay of surgical intervention [9]. Therefore, experience in
the diagnosis and treatment of necrotizing fasciitis is quite
limited. Involvement of the head and neck region is quite rare
for necrotizing fasciitis patients [2]. In this region there are
two types of necrotizing fasciitis and they include cervical
and craniofacial involvement [10]. Mortality rates of cervical
necrotizing fasciitis range from 7% to 20% depending on the
width of the cervical lesion [11]. This case report is presented
because, unlike most of the others, this case of necrotizing
fasciitis is nonodontogenic, sialoadenitis induced cervical
necrotizing fasciitis.
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Keywords
Necrotizing Fasciitis, Sialadenitis