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Fungal Necrotizing Fasciitis of Craniofacial Region: A Diagnostic Challenge

Arun Kumar1, Vidya Rattan2, Sachin Rai2

  • 1Department of Oral Health Science, Satellite Centre, Postgraduate Institute of Medical Education and Research, Una, Himachal Pradesh 174303 India.

Journal of Maxillofacial and Oral Surgery
|November 15, 2021
PubMed

Insights

Necrotizing fasciitis, a severe soft tissue infection, rarely affects the head and neck. This case highlights successful treatment of craniofacial necrotizing fasciitis caused by Mucor in a diabetic patient.

Area of Science:

  • Infectious Diseases
  • Surgical Pathology
  • Endocrinology

Background:

  • Necrotizing fasciitis is a rare, aggressive soft tissue infection characterized by necrosis of superficial fascia and subcutaneous tissue.
  • While commonly affecting the abdominal wall, extremities, and perineum, head and neck involvement is infrequent.
  • Uncontrolled diabetes mellitus is a significant predisposing factor for severe infections.

Observation:

  • A case of necrotizing fasciitis in the craniofacial region is presented.
  • The infection was caused by Mucor, a type of fungus.
  • The patient had uncontrolled diabetes mellitus.

Findings:

  • Successful treatment of craniofacial necrotizing fasciitis caused by Mucor in an uncontrolled diabetic patient.
  • Early diagnosis and radical surgical excision of infected tissue were critical.
  • Comprehensive management including antimicrobials, rehydration, and nutritional support was essential.

Implications:

  • This case underscores the importance of considering rare presentations of necrotizing fasciitis in the head and neck.
  • Prompt surgical intervention and multidisciplinary management are key to improving outcomes.
  • Effective control of underlying conditions like diabetes is crucial in preventing and managing such severe infections.
Keywords:
CraniofacialFungal infectionMucormycosisNecrotizing fasciitis

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