Necrotizing Fasciitis of Cervicothoracic Region after Treatment for Tonsillar Carcinoma

Autor:	Taijiro Imakiire, Shinya Matsunaga, Masaru Ohyama, Kaneaki Haraguchi, Masahiko Yoshitsugu, Kouji Deguchi, Shigeru Furuta
Rok vydání:	1995
Předmět:	medicine.medical_specialty Tonsillar Carcinoma Debridement business.industry Septic shock medicine.medical_treatment medicine.disease medicine.disease_cause Surgery Radiation therapy Otorhinolaryngology Respiratory failure Streptococcus pyogenes medicine Fasciitis business Rare disease
Zdroj:	Practica Oto-Rhino-Laryngologica. 88:905-910
ISSN:	1884-4545 0032-6313
DOI:	10.5631/jibirin.88.905
Popis:	Necrotizing fasciitis is a rare disease characterized by cutaneous necrosis, suppurative fasciitis, and vascular thrombosis. The disease commonly causes a rapidly progressive toxic systemic illness (i. e. toxic shock-like syndrome) in which the mortality has been reported to be between 20 and 36%.Necrotizing fasciitis of the neck and chest occurred in a patient with tonsillar carcinoma one month after treatment with surgery and radiotherapy. The patient was admitted to our hospital ICU in renal and respiratory failure, septic shock and DIC. He recovered after treatment which included debridement of necrotized tissue in the cervicothoracic region. Streptococcus pyogenes was solated in blood cultures. We speculated that the bacterial infection might have entered through the incision for tumor resection.The recent literature concerning necrotizing fasciitis is reviewed. It is important for otolaryngologists to be aware of this disease since early excision of necrotic tissue and high dose intravenous antibiotics are necessary for patient survival.
Databáze:	OpenAIRE
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