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1 results

  • Novel management of cervical necrotising fasciitis in a developing country: case report

  • A Salisu, A A Adeosun, N H Emma-Nzekwue, S B Abubakar
  • Journal:
    The Journal of Laryngology & Otology / Volume 125 / Issue 1 / January 2011
    Published online by Cambridge University Press:
    12 October 2010, pp. 93-95
    Print publication:
    January 2011
  • Objective:

    We report a rare case of cervical necrotising fasciitis arising from poorly managed acute tonsillitis.

    Case report:

    A 23-year-old woman presented with a two-week history of fever and an eight-day history of painful neck swelling. Nine days before presentation, she had received digital manipulation of her throat by a neighbour, which had worsened her throat pain. There was associated progressive generalised neck swelling, odynophagia, dysphagia and dyspnoea. An X-ray of the neck soft tissue showed multiple gas collections.

    Conclusion:

    Cervical necrotising fasciitis is rare and usually odontogenic in origin. It is associated with a high mortality rate. Our patient responded to aggressive daily bedside wound debridements and dressings, appropriate intravenous antibiotics and high-protein nutritional support. In this way, exploration under general anaesthesia was avoided, in a developing country with limited facilities.