Servikal nekrotizan fasiit
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Date
2018
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Journal ISSN
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Access Rights
info:eu-repo/semantics/openAccess
Abstract
Servikal nekrotizan fasiit (NF) nadir ve ölümcül bir bakteriyelenfeksiyondur. Fasya planları ve subkütan dokularda ilerleyendoku nekrozu ile karakterizedir. Bu yazıda, yaygın boyunağrısı ve hareket kısıtlılığı nedeni ile değerlendirilen iki NFhastası sunuldu. Boyun bilgisayarlı tomografide subkütanözdokuda yaygın ödem izlendi. Nekrotizan fasiit tanısı konulanhastalar yoğun bakıma nakledildi ve geniş spektrumluantibiyoterapi başlandı. Acil şartlarda boyun eksplorasyonuyapıldı ve tüm nekrotik fasya planları rezeke edildi. Birincihasta boyun enfeksiyonunun giderilmesine rağmen hastaneyeyatışının 45. gününde ikincil bir hastane enfeksiyonu nedeniile kaybedildi. İkinci hasta takiplerinde komplikasyonolmaksızın ameliyat sonrası 10. günde taburcu edildi.Nekrotizan fasiit tanısı klinik şüphe ve fizik muayene ilekonulur. Erken tanı, uygun geniş spektrumlu antibiyoterapive cerrahi debridman mortalitenin önüne geçebilmek için enönemli faktörlerdir.
Cervical necrotizing fasciitis (NF) is a rare and fatal bacterialinfection. It is characterized with tissue necrosis advancing onfascial planes and subcutaneous tissues. In this article, we presenttwo NF patients who were evaluated for prevalent neck pain andmotion limitation. We observed prevalent edema on subcutaneoustissue on neck computed tomography. We transferred the patients,who were diagnosed as NF, to intensive care and started widespectrum antibiotherapy. We performed neck exploration inemergency conditions and resected all necrotic fascial planes.First patient died due to a secondary hospital infection on 45 thday of hospitalization despite the elimination of the infectionin the neck. Second patient was discharged from hospital atpostoperative 10 th day without any follow-up complication.The diagnosis of NF is established with clinical suspicion andphysical examination. Early diagnosis, appropriate wide spectrumantibiotherapy, and surgical debridement are the most importantfactors to avoid mortality.
Cervical necrotizing fasciitis (NF) is a rare and fatal bacterialinfection. It is characterized with tissue necrosis advancing onfascial planes and subcutaneous tissues. In this article, we presenttwo NF patients who were evaluated for prevalent neck pain andmotion limitation. We observed prevalent edema on subcutaneoustissue on neck computed tomography. We transferred the patients,who were diagnosed as NF, to intensive care and started widespectrum antibiotherapy. We performed neck exploration inemergency conditions and resected all necrotic fascial planes.First patient died due to a secondary hospital infection on 45 thday of hospitalization despite the elimination of the infectionin the neck. Second patient was discharged from hospital atpostoperative 10 th day without any follow-up complication.The diagnosis of NF is established with clinical suspicion andphysical examination. Early diagnosis, appropriate wide spectrumantibiotherapy, and surgical debridement are the most importantfactors to avoid mortality.
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Keywords
Kulak, Burun, Boğaz
Journal or Series
Kulak Burun Boğaz Uygulamaları
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Scopus Q Value
Volume
6
Issue
1
