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Management of Cervicofacial Necrotizing Fasciitis of Peritonsillar Origin: A Case Report

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dc.contributor.authorTapia Contreras, Pedro
dc.contributor.authorMatus-Miranda, Gustavo
dc.contributor.authorZeballos-Cofré, Jessica
dc.contributor.authorCarvajal-Guzmán, Melissa
dc.contributor.authorJollán, Florencia
dc.contributor.authorDíaz-Abarza, Sofía
dc.date.accessioned2026-09-30T18:52:27Z
dc.date.available2026-09-30T18:52:27Z
dc.date.issued2025
dc.description.abstractNecrotizing fasciitis (NF) is a rare, rapidly progressing, and severe infection of subcutaneous tissues and muscle fascia that can be fatal. It causes rapid tissue necrosis through pathogen-induced vasoconstriction and thrombosis. While commonly found in the torso, abdomen, and limbs, it rarely affects the head and neck. Effective treatment includes early diagnosis, surgery, antibiotics, and hyperbaric oxygen therapy, though mortality remains high. A 40-year-old man with a history of uncontrolled diabetes mellitus (DM) presented with increased volume, erythema, and cramps in the cervical and upper thoracic area. The main diagnosis was NF, requiring surgical debridement of the affected tissue. Despite therapeutic efforts, the patient succumbed to sepsis and multiple organ failure. NF is a life-threatening infection with a very low incidence but a high mortality rate. Cervical NF often arises from odontogenic infections and is associated with systemic factors like diabetes and obesity. Early diagnosis is challenging, but Computed tomography (CT) and the Laboratory risk indicator score for necrotizing fasciitis (LRINEC) score are essential. Effective treatment includes surgical debridement, broad-spectrum antibiotics, and hyperbaric oxygen therapy. NF remains a critical condition with high mortality, underscoring the need for early recognition and aggressive treatment strategies to improve patient outcomes.
dc.description.versionVersión publicada
dc.format.extent6 p.
dc.identifier.citationTapia-Contreras, Pedro, Matus-Miranda, Gustavo, Zeballos-Cofré, Jessica, Carvajal-Guzmán, Melissa, Jollán-Peña, Florencia, & Díaz-Abarza, Sofía. (2025). Management of Cervicofacial Necrotizing Fasciitis of Peritonsillar Origin: A Case Report. International journal of odontostomatology, 19(1), 28-33. https://dx.doi.org/10.4067/S0718-381X2025000100028
dc.identifier.doihttps://dx.doi.org/10.4067/S0718-381X2025000100028
dc.identifier.urihttps://hdl.handle.net/11447/11215
dc.language.isoen
dc.subjectCase report
dc.subjectFasciitis
dc.subjectNecrotizing
dc.subjectSoft Tissue Infections
dc.subjectHead
dc.subjectNeck
dc.subjectinfecciones de tejidos blandos
dc.subjectInforme de caso
dc.subjectFascitis necrosante
dc.subjectInfecciones de tejidos blandos
dc.subjectCabeza
dc.subjectCuello
dc.titleManagement of Cervicofacial Necrotizing Fasciitis of Peritonsillar Origin: A Case Report
dc.title.alternativeManejo de la Fascitis Necrotizante Cervicofacial de Origen Peritonsilar: Reporte de Caso
dc.typeArticle
dcterms.accessRightsAcceso abierto
dcterms.sourceInternational journal of odontostomatology
dspace.entity.typePublication

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