Author/Authors :
Alcides Arruda, José Faculdade de Odontologia de Pernambuco - Universidade de Pernambuco - Avenida General Newton Cavalcante, PE, Brazil , Figueiredo, Eugênia Hospital da Restauracao - Avenida Governador Agamenon Magalh aes, Derby, Recife, PE, Brazil , Alvares, Pamella Faculdade de Odontologia de Pernambuco - Universidade de Pernambuco - Avenida General Newton Cavalcante, PE, Brazil , Silva, Luciano Faculdade de Odontologia de Pernambuco - Universidade de Pernambuco - Avenida General Newton Cavalcante, PE, Brazil , Silva, Leorik Universidade Federal do Rio Grande do Norte - Campus Universitario Lagoa Nova, Natal, RN, Brazil , Caubi, Antônio Faculdade de Odontologia de Pernambuco - Universidade de Pernambuco - Avenida General Newton Cavalcante, PE, Brazil , Silveira, Marcia Faculdade de Odontologia de Pernambuco - Universidade de Pernambuco - Avenida General Newton Cavalcante, PE, Brazil , Paula Sobral, Ana Faculdade de Odontologia de Pernambuco - Universidade de Pernambuco - Avenida General Newton Cavalcante, PE, Brazil
Abstract :
Cervical necrotizing fasciitis is an unusual infection characterized by necrosis of the subcutaneous tissue and fascial layers. Risk
factors for the development of necrotizing fasciitis include diabetes mellitus, chronic renal disease, peripheral vascular disease,
malnutrition, advanced age, obesity, alcohol abuse, intravenous drug use, surgery, and ischemic ulcers.This report presents a case of
necrotizing fasciitis in the cervical area caused by dental extraction in a 73-year-old woman. Cervical necrotizing fasciitis in geriatric
patient is rare, and even when establishing the diagnosis and having it timely treated, the patient can suffer irreversible damage or
even death. Clinical manifestations in the head and neck usually have an acute onset characterized by severe pain, swelling, redness,
erythema, presence of necrotic tissue, and in severe cases obstruction of the upper airways.Therefore, the presentation of this clinical
case can serve as guidance to dentists as a precaution to maintain an aseptic chain and be aware of the clinical condition of older
patients and the systemic conditions that may increase the risk of infections.
