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Cervical Necrotizing Fasciitis Caused by Dental Extraction
José Alcides Arruda1, Eugênia Figueiredo2, Pâmella Álvares1
1Faculdade de Odontologia de Pernambuco, Universidade de Pernambuco, Avenida General Newton Cavalcante, 1650 Aldeia dos Camarás, 54753-020 Camaragibe, PE, Brazil.
Case Reports in Dentistry
|July 5, 2016
Summary
Cervical necrotizing fasciitis, a rare infection, can develop after dental extraction, especially in older adults. Early diagnosis and treatment are crucial to prevent severe complications and death.
Area of Science:
- Infectious Diseases
- Head and Neck Surgery
- Geriatric Medicine
Background:
- Cervical necrotizing fasciitis is a rare but severe infection affecting subcutaneous and fascial layers in the neck.
- Risk factors include diabetes, renal disease, advanced age, and compromised immunity.
- Dental procedures can be a precipitating event, particularly in vulnerable populations.
Purpose of the Study:
- To report a rare case of cervical necrotizing fasciitis following dental extraction in a geriatric patient.
- To highlight the clinical presentation and management challenges of this condition in the elderly.
- To emphasize the importance of aseptic techniques and awareness of patient risk factors for dentists.
Main Methods:
- Case report presentation.
- Review of clinical manifestations, risk factors, and treatment considerations for cervical necrotizing fasciitis.
- Discussion of the specific case in the context of existing literature.
Main Results:
- A 73-year-old woman developed cervical necrotizing fasciitis post-dental extraction.
- The patient experienced acute onset of severe pain, swelling, erythema, and necrotic tissue.
- Prompt diagnosis and treatment were essential, though the potential for irreversible damage or mortality remains high in geriatric patients.
Conclusions:
- Cervical necrotizing fasciitis following dental extraction is a critical condition requiring heightened awareness in geriatric patients.
- Dentists must maintain strict aseptic protocols and assess systemic conditions that increase infection risk.
- Timely recognition and intervention are paramount for improving outcomes in this rare but life-threatening infection.
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