Severe necrotizing fasciitis complicating odontogenic nfection: a case report

Dent Update. 2008 Jun;35(5):353-5. doi: 10.12968/denu.2008.35.5.353.

Abstract

We report a case of cervical necrotizing fasciitis complicating dental infection in a 36-year-old man, who presented with infection involving mucosa of the right maxilla, mandible, parapharyngeal and masticator spaces, requiring extensive surgery and antibiotic therapy. The initial presentation, radiological appearance and clinical course are discussed.

Clinical relevance: This case highlights the course of an aggressive dento-alveolar infection in the immuno-compromised host. The need for early detection and urgent referral by the practitioner to minimize the risk of mortality and morbidity is essential in such cases.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Alcoholism / complications
  • Dental Caries / complications*
  • Fasciitis, Necrotizing / etiology*
  • Focal Infection, Dental / complications*
  • Humans
  • Immunocompromised Host
  • Male
  • Masticatory Muscles / pathology
  • Mouth Diseases / etiology*
  • Muscular Diseases / etiology
  • Periodontal Diseases / complications*
  • Pharyngeal Diseases / etiology*