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CES Odontología

Print version ISSN 0120-971X


LOPEZ-APARICIO, Erick; GOMEZ-ARCILA, Verónica  and  CARMONA-MEZA, Zenén. Necrotizing Fasciitis of dental origin: A Case Report. CES odontol. [online]. 2017, vol.30, n.1, pp.68-74. ISSN 0120-971X.

Abstract Necrotizing fasciitis (NF) is an infection that affects the facial planes causing subcutaneous tissue death, characterized by rapidly progressive, systemic toxicity and even death. The FN appears as a red, painful, with increased temperature, swollen wound and ill-defined border. With progression of the infection process local pain is replaced by numbness or analgesia. Initially the skin look pale, then mottled and purple and then finally acquires a gangrenous appearance. FN's ability to fast forward through the fascial planes and cause tissue necrosis is due to the polymicrobial composition and the synergistic effects of the enzymes produced by bacteria. The treatment of this disease involves securing the airway, therapies with broad-spectrum antibiotics, intensive care, support and rapid surgical debridement repeating the process as often as necessary. The reduction in mortality from FN depends on early diagnosis and application of a quick and aggressive treatment.

Keywords : Fasciitis; necrotizing fasciitis; infection; bacteria.

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