Comparison of death and survival cervical necrotizing fasciits cases
| Autor: | Vefa Kinis, Argün Ediz Yorgancılar, Bilal Sizer, Ümit Yilmaz |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Dermatology Young Adult 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Tracheotomy Risk Factors Internal medicine Diabetes mellitus medicine Humans Fasciitis Necrotizing Fasciitis Aged Retrospective Studies Respiratory distress business.industry Mortality rate Middle Aged medicine.disease Mediastinitis 030220 oncology & carcinogenesis Etiology Airway management business Neck |
| Zdroj: | Journal of Cosmetic Dermatology. 21:1635-1641 |
| ISSN: | 1473-2165 1473-2130 |
| DOI: | 10.1111/jocd.14254 |
| Popis: | Background Cervical Necrotizing Fasciitis (CNF) is associated with a high mortality rate. The occurrence of mediastinitis with CNF may increase mortality up to 70%. Aims We aimed to identify the differences between surviving and deceased cases. Methods The present study was conducted retrospectively by scanning the files of 16 patients between the ages of 19-71 who were diagnosed with CNF. Patients were divided into two groups as the surviving patient group (SPG) and the deceased patient group (DPG). Both groups were compared in terms of age, gender, Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score, duration of symptom onset to hospital admission, use of antibiotherapy prior to admission, duration of hospitalization, presence of diabetes mellitus (DM), presence of dental etiology, mediastinitis, and respiratory distress at the time of admission. Results Diabetes mellitus was the most common comorbid disease. 5 out of 7 deceased patients had DM. Dental events were the most common etiology. Rapid surgical debridement and airway management was the first treatment method. The most frequently isolated species in the culture was Streptococcus. 6 of 11 patients who developed mediastinitis deceased at the end of the process. Conclusion Dental pathologies mostly play a role in the etiology. It is obvious that dentists, another occupational group that frequently encounters this patient group, have a critical role in this process. Therefore, precise attention should be given to dental problems in patients with diabetes, and hospitalization and initiation of broad-spectrum antibiotherapy should be considered in case of suspicion of deep neck infection. |
| Databáze: | OpenAIRE |
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