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Case Report

Online Publishing Date:
27 / 12 / 2021

 


Emergency Management of Necrotizing Fasciitis at Left Submandible Region Due to Odontogenic Infection: A Case Report

Agnesthesia Ruth Stevhany, Eka Marwansyah Olii, Agus Nurwiadh.


Abstract
Introduction: Necrotizing fasciitis (NF)-infection of soft tissues that results in the destruction of fascia and soft tissues. Infections that occur in the region of the head and neck, in most cases the aetiology is odontogenic.
Objective: Early diagnosis coupled with emergent necrotomy debridement, appropriate broad-spectrum empiric antibiotic treatment, and a multidisciplinary team approach is essential for successful treatment.
Case: We reported a 61-year-old male patient who came with swelling in the cheek, left lower jaw, chin, neck region and there was necrotic tissue at the left submandible region. He was diagnosed with necrotizing fasciitis at the left submandible region with left submandible abscess extended to left buccal, submental, right submandible, Colli anterior, and bilateral hemithorax region and we found multiple radices that were thought to be the source of infection.
Case Management: The principles of early diagnosis, incision and drainage, extraction of teeth, extensive necrotomy debridement, broad-spectrum antibiotic therapy, and intensive supportive care in the treatment of NF were confirmed in the present case.
Conclusion: The reduction of mortality of this disease depends upon early detection, and early and adequate necrotomy debridement treatment. Delays in surgical intervention >14 hours are associated with significantly higher mortality, septic shock, and more repeat debridement.

Key words: Debridement, Necrotizing fasciitis, Odontogenic infection


 
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How to Cite this Article
Pubmed Style

Stevhany AR, Olii EM, Nurwiadh A. Emergency Management of Necrotizing Fasciitis at Left Submandible Region Due to Odontogenic Infection: A Case Report. Int J Med Rev Case Rep. 2021; 5(10): 48-52. doi:10.5455/IJMRCR.EmergencyManagementofNecrotizingFasciitisatLeftSubmandibleRegion

Web Style

Stevhany AR, Olii EM, Nurwiadh A. Emergency Management of Necrotizing Fasciitis at Left Submandible Region Due to Odontogenic Infection: A Case Report. https://www.mdpub.net/?mno=80149 [Access: April 04, 2024]. doi:10.5455/IJMRCR.EmergencyManagementofNecrotizingFasciitisatLeftSubmandibleRegion

AMA (American Medical Association) Style

Stevhany AR, Olii EM, Nurwiadh A. Emergency Management of Necrotizing Fasciitis at Left Submandible Region Due to Odontogenic Infection: A Case Report. Int J Med Rev Case Rep. 2021; 5(10): 48-52. doi:10.5455/IJMRCR.EmergencyManagementofNecrotizingFasciitisatLeftSubmandibleRegion


Vancouver/ICMJE Style

Stevhany AR, Olii EM, Nurwiadh A. Emergency Management of Necrotizing Fasciitis at Left Submandible Region Due to Odontogenic Infection: A Case Report. Int J Med Rev Case Rep. (2021), [cited April 04, 2024]; 5(10): 48-52. doi:10.5455/IJMRCR.EmergencyManagementofNecrotizingFasciitisatLeftSubmandibleRegion


Harvard Style

Stevhany, A. R., Olii, . E. M. & Nurwiadh, . A. (2021) Emergency Management of Necrotizing Fasciitis at Left Submandible Region Due to Odontogenic Infection: A Case Report. Int J Med Rev Case Rep, 5 (10), 48-52. doi:10.5455/IJMRCR.EmergencyManagementofNecrotizingFasciitisatLeftSubmandibleRegion


Turabian Style

Stevhany, Agnesthesia Ruth, Eka Marwansyah Olii, and Agus Nurwiadh. 2021. Emergency Management of Necrotizing Fasciitis at Left Submandible Region Due to Odontogenic Infection: A Case Report. International Journal of Medical Reviews and Case Reports, 5 (10), 48-52. doi:10.5455/IJMRCR.EmergencyManagementofNecrotizingFasciitisatLeftSubmandibleRegion


Chicago Style

Stevhany, Agnesthesia Ruth, Eka Marwansyah Olii, and Agus Nurwiadh. "Emergency Management of Necrotizing Fasciitis at Left Submandible Region Due to Odontogenic Infection: A Case Report." International Journal of Medical Reviews and Case Reports 5 (2021), 48-52. doi:10.5455/IJMRCR.EmergencyManagementofNecrotizingFasciitisatLeftSubmandibleRegion


MLA (The Modern Language Association) Style

Stevhany, Agnesthesia Ruth, Eka Marwansyah Olii, and Agus Nurwiadh. "Emergency Management of Necrotizing Fasciitis at Left Submandible Region Due to Odontogenic Infection: A Case Report." International Journal of Medical Reviews and Case Reports 5.10 (2021), 48-52. Print. doi:10.5455/IJMRCR.EmergencyManagementofNecrotizingFasciitisatLeftSubmandibleRegion


APA (American Psychological Association) Style

Stevhany, A. R., Olii, . E. M. & Nurwiadh, . A. (2021) Emergency Management of Necrotizing Fasciitis at Left Submandible Region Due to Odontogenic Infection: A Case Report. International Journal of Medical Reviews and Case Reports, 5 (10), 48-52. doi:10.5455/IJMRCR.EmergencyManagementofNecrotizingFasciitisatLeftSubmandibleRegion


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