Necrotizing soft tissue infection at an uncommon site following tooth extraction

Authors

  • Raksha R. Department of General Surgery, Rajarajeswari Medical College and Hospital, Bangalore, Karnataka, India
  • Varsha S. Department of General Surgery, Rajarajeswari Medical College and Hospital, Bangalore, Karnataka, India
  • S. Rajagopalan Department of General Surgery, Rajarajeswari Medical College and Hospital, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20195431

Keywords:

Necrotizing soft tissue infection, Tooth extraction, Ludwig’s angina

Abstract

Necrotizing soft tissue infection (NSTI) is a disease characterized by rapidly progressive necrosis involving skin, subcutaneous tissue, fascia or muscle. It is commonly seen in extremities, perineum and lower abdomen. It is extremely uncommon for necrotizing fasciitis to occur along the chest wall, with only a few such cases being reported. We report one such rare case of NSTI in a 75 year old male who underwent left molar tooth extraction developed Ludwig’s angina which progressed to present as a painful swelling over the left side of the neck and chest with a necrotic patch of skin over manubrium sternum managed successfully.

References

Gupta AK, Pandey MK, Gupta P, Khanna AK. Anterior chest wall an unusual site for necrotizing fasciitis. Saudi J Health Sci 2015;4:188-90.

Safran DB, Sullivan WG. Necrotizing fasciitis of the chest wall. Ann Thorac Surg. 2001;72:1362‑4.

Anaya DA, McMahon K, Nathens AB, Sullivan SR, Foy H, Bulger E. Predictors of mortality and limb loss in necrotizing soft tissue infections. Arch Surg 2005;140:151-8.

McHenry CR, Malangoni MA. Necrotizing soft tissue infections. In: Fry DE, editor. Surgical Infections. Boston: Little Brown and Company; 1994: 145-159.

Birnbaum DJ, D’Journo XB, Casanova D, Thomas PA. Necrotizing fasciitis of the chest wall. Interact Cardiovasc Thorac Surg. 2010;10:483-4.

Kalkat MS, Rajesh PB, Hendrickse C. Necrotizing fasciitis of chest wall complicating empyema thoracis. Interact Cardiovasc Thorac Surg. 2003;2:358-60.

Yamasaki O, Nagao Y, Sugiyama N, Otsuka M, Iwatsuki K. Surgical management of axillary necrotizing fasciitis: A case report. J Dermatol. 2012;39:309-11.

Sarani B, Strong M, Pascual J, Schwab CW. Necrotizing fasciitis: Current concept and review of the literature. J Am Coll Surg. 2009;208:279-88.

Wong CH, Yam AK, Tan AB, Song C. Approach to debridement in necrotizing fasciitis. Am J Surg. 2008;196:e19-24.

Downloads

Published

2019-11-26

Issue

Section

Case Reports