Related Experiment Videos

Cervicofacial necrotizing fasciitis: an unusual complication of chronic suppurative otitis media

Ashwani Sethi1, Anup Sabherwal, Rajeev Puri

  • 1Department of ENT, MAMC and Associated LN Hospital, New Delhi, India. dr_sethi@rediffmail.com1

Insights

Necrotizing fasciitis, a severe soft tissue infection, can arise from various sources. This case highlights a rare instance in an eight-year-old child, originating from chronic suppurative otitis media.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Pediatrics

Background:

  • Necrotizing fasciitis is a rare, rapidly progressing soft tissue infection with high mortality.
  • Common origins include odontogenic, traumatic, insect bites, burns, and surgical infections.

Observation:

  • A clinical case of an eight-year-old child presenting with facial and cervical necrotizing fasciitis is detailed.
  • The condition was observed as a complication of chronic suppurative otitis media.

Findings:

  • The case illustrates a rare pediatric presentation of necrotizing fasciitis.
  • The review covers the etiology, diagnostic approaches, and management strategies for necrotizing fasciitis.

Implications:

  • This case underscores the importance of considering otitis media as a potential source for necrotizing fasciitis in children.
  • Early diagnosis and prompt management are critical for improving outcomes in pediatric necrotizing fasciitis.

Related Concept Videos

Cryptococcal Meningitis01:27

Cryptococcal Meningitis

Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...
Bacterial Meningitis I: Introduction01:22

Bacterial Meningitis I: Introduction

Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...
Brain Abscess l: Introduction01:26

Brain Abscess l: Introduction

A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Bacterial Meningitis II: Pathophysiology01:26

Bacterial Meningitis II: Pathophysiology

Bacterial meningitis typically begins when pathogens such as Neisseria meningitidis and Streptococcus pneumoniae colonize the nasopharynx and invade the bloodstream. This process is facilitated by bacterial virulence factors, such as polysaccharide capsules, which resist phagocytosis and complement-mediated killing. Less commonly, bacteria reach the central nervous system via contiguous spread from infections like otitis media or sinusitis, through congenital or acquired dural defects, or...