Cervicofacial Necrotizing Fasciitis in Nakornping Hospital : Clinical Manifestations and Management-Cervicofacial Necrotizing Fasciitis ในโรงพยาบาลนครพิงค์ : อาการแสดง ทางคลินิกและแนวทางการรักษา

บทคัดย่อ

       A retrospective study of 8 cervicofacial necrotizing fasciitis patients presented atNakornpingHospitalbetween 2002 to 2007 was carried out and showed dental origin in 4 cases (50%) and parotid abscess in 2 cases (25%).  Ascociated diseases were diabetes mellitus and hypoalbuminemia.  Clinical manifestations were neck mass and inflammation skin. Five patients (63%) of cases were positive for soft tissue crepitation.  Four patients had sepsis at first presentation.  All of pus cultures were positive and the most common bacteria was Streptococcus sp.   Treatment included administration of broad spectrums intravenous antibiotics and surgical debridement.  Frequent neck debridement was necessary to decrease mortality.  One case severe complication with a of mediastinitis was reported.  This study show 13% mortality rate.

Key words:  cervicofacial necrotizing fasciitis, clinical manifestations clinical, management