Cervical necrotizing fasciitis: two case reports and review of the literature
Abstract:
Necrotizing fasciitis is a rapidly progressive mixed-organism infection that, in the neck, involves the superficial and deep cervical fascia. Underestimation of this complication of a "minor head and neck infection" can delay diagnosis and treatment of this often fatal disease process. Thirty-five cases of necrotizing fasciitis involving the neck have been reported previously. Two new cases of cervical necrotizing fasciitis and a review of previously reported cases are presented. Management is discussed. Early diagnosis is critical. Antibiotic therapy and prompt, aggressive surgical intervention are appropriate.
Insights
Necrotizing fasciitis is a severe neck infection. Early diagnosis and aggressive surgical treatment alongside antibiotics are critical for managing this potentially fatal condition.
Area of Science:
- Infectious Diseases
- Surgical Pathology
Background:
- Necrotizing fasciitis is a severe, rapidly progressing infection affecting the neck's superficial and deep cervical fascia.
- Underestimating this infection, often arising from minor head and neck infections, can lead to delayed diagnosis and treatment.
Observation:
- This study presents two new cases of cervical necrotizing fasciitis.
- A review of 35 previously reported cases is included to provide a comprehensive overview.
Findings:
- Early diagnosis is paramount for effective management of cervical necrotizing fasciitis.
- Prompt, aggressive surgical intervention combined with appropriate antibiotic therapy is the recommended course of action.
Implications:
- Timely recognition and intervention can significantly improve outcomes for patients with this life-threatening condition.
- Highlights the importance of considering necrotizing fasciitis in head and neck infections, even when seemingly minor.
