Novel management of cervical necrotising fasciitis in a developing country: case report
Objective: We report a rare case of cervical necrotising fasciitis arising from poorly managed acute tonsillitis. Case report: A 23-year-old woman presented with a two-week history of fever and an eight-day history of painful neck swelling. Nine days before presentation, she had received digital man...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | en |
| Published: |
Cambridge University Press
2011
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| Subjects: | |
| Online Access: | http://eprints.um.edu.my/3942/1/Salisu-2011-Novel_management_of.pdf http://eprints.um.edu.my/3942/ https://doi.org/10.1017/S0022215110001994 |
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| Summary: | Objective: We report a rare case of cervical necrotising fasciitis arising from poorly managed acute tonsillitis. Case report: A 23-year-old woman presented with a two-week history of fever and an eight-day history of painful neck swelling. Nine days before presentation, she had received digital manipulation of her throat by a neighbour, which had worsened her throat pain. There was associated progressive generalised neck swelling, odynophagia, dysphagia and dyspnoea. An X-ray of the neck soft tissue showed multiple gas collections. Conclusion: Cervical necrotising fasciitis is rare and usually odontogenic in origin. It is associated with a high mortality rate. Our patient responded to aggressive daily bedside wound debridements and dressings, appropriate intravenous antibiotics and high-protein nutritional support. In this way, exploration under general anaesthesia was avoided, in a developing country with limited facilities. |
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