Odontogenic Actinomycotic Necrotizing Fasciitis of Cervicothoracic Region: A Case Report

doi:10.1007/s12070-024-04919-x

. 2024 Dec;76(6):5857-5860.

doi: 10.1007/s12070-024-04919-x. Epub 2024 Aug 1.

Odontogenic Actinomycotic Necrotizing Fasciitis of Cervicothoracic Region: A Case Report

Glynis Francis¹, K Vigneswaran¹, S Gokul¹, Charisha David¹, Rajarajeswari Nalamate¹, N Vasanthi², Sithanandakumar Venkatesan¹

Affiliations

¹ Department of ENT, Pondicherry Institute of Medical Sciences, Pondicherry, India.
² Department of General Medicine, PIMS, Pondicherry, India.

PMID: 39559035
PMCID: PMC11569287 (available on 2025-12-01)
DOI: 10.1007/s12070-024-04919-x

Odontogenic Actinomycotic Necrotizing Fasciitis of Cervicothoracic Region: A Case Report

Glynis Francis et al. Indian J Otolaryngol Head Neck Surg. 2024 Dec.

. 2024 Dec;76(6):5857-5860.

doi: 10.1007/s12070-024-04919-x. Epub 2024 Aug 1.

Authors

Glynis Francis¹, K Vigneswaran¹, S Gokul¹, Charisha David¹, Rajarajeswari Nalamate¹, N Vasanthi², Sithanandakumar Venkatesan¹

Affiliations

¹ Department of ENT, Pondicherry Institute of Medical Sciences, Pondicherry, India.
² Department of General Medicine, PIMS, Pondicherry, India.

PMID: 39559035
PMCID: PMC11569287 (available on 2025-12-01)
DOI: 10.1007/s12070-024-04919-x

Abstract

We report an uncommon odontogenic actinomycotic cervicothoracic Nectrotizing Fasciitis (NF), treated with tracheostomy, immediate surgical debridement and antibiotics. Red flags for early identification, LRINEC scoring for prognostication, surgical debridement with aerobic & anaerobic culture specific antibiotics to improve survival in this life-threatening cervicothoracic NF in a young diabetic is discussed.

Keywords: Actinomycosis; Cervicothoracic; Necrotizing fasciitis; Tracheostomy.

© Association of Otolaryngologists of India 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

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References

1. Lin C, Yeh FL, Lin JT, Ma H, Hwang CH, Shen BH, Fang RH (2001) Necrotizing fasciitis of the head and neck: An analysis of 47 cases. Plast. Reconstr. Surg. 107(7):1684–1693. 10.1097/00006534-200106000-00008. PMID: 11391186 - PubMed
1. Chou PY, Hsieh YH, Lin CH (2020) Necrotizing fasciitis of the entire head and neck: literature review and case report. Biomed J 43(1):94–98 - PMC - PubMed
1. Özkan A, Sentürk S, Topkara A, Tosun Z Extensive cervicofacial necrotizing fasciitis of odontogenic origin: case report and literature review. Eur J Plast Surg 38: 143. 10.1007/s00238-014-1036-3
1. Vaid N, Kothadiya A, Patki S, Kanhere H (2002) Necrotising fasciitis of the neck. Indian J Otolaryngol Head Neck Surg 54:143–145. 10.1007/BF02968735 - PMC - PubMed
1. Singh G, Sinha SK, Adhikary S, Babu KS, Ray P, Khanna SK (2002) Necrotising infections of soft tissues—a clinical profile. Eur J Surg 168(6): 366 – 71. 10.1080/11024150260284897. PMID: 12428876 - PubMed

[1] Lin C, Yeh FL, Lin JT, Ma H, Hwang CH, Shen BH, Fang RH (2001) Necrotizing fasciitis of the head and neck: An analysis of 47 cases. Plast. Reconstr. Surg. 107(7):1684–1693. 10.1097/00006534-200106000-00008. PMID: 11391186 - PubMed

[2] Lin C, Yeh FL, Lin JT, Ma H, Hwang CH, Shen BH, Fang RH (2001) Necrotizing fasciitis of the head and neck: An analysis of 47 cases. Plast. Reconstr. Surg. 107(7):1684–1693. 10.1097/00006534-200106000-00008. PMID: 11391186 - PubMed

[3] Chou PY, Hsieh YH, Lin CH (2020) Necrotizing fasciitis of the entire head and neck: literature review and case report. Biomed J 43(1):94–98 - PMC - PubMed

[4] Chou PY, Hsieh YH, Lin CH (2020) Necrotizing fasciitis of the entire head and neck: literature review and case report. Biomed J 43(1):94–98 - PMC - PubMed

[5] Özkan A, Sentürk S, Topkara A, Tosun Z Extensive cervicofacial necrotizing fasciitis of odontogenic origin: case report and literature review. Eur J Plast Surg 38: 143. 10.1007/s00238-014-1036-3

[6] Özkan A, Sentürk S, Topkara A, Tosun Z Extensive cervicofacial necrotizing fasciitis of odontogenic origin: case report and literature review. Eur J Plast Surg 38: 143. 10.1007/s00238-014-1036-3

[7] Vaid N, Kothadiya A, Patki S, Kanhere H (2002) Necrotising fasciitis of the neck. Indian J Otolaryngol Head Neck Surg 54:143–145. 10.1007/BF02968735 - PMC - PubMed

[8] Vaid N, Kothadiya A, Patki S, Kanhere H (2002) Necrotising fasciitis of the neck. Indian J Otolaryngol Head Neck Surg 54:143–145. 10.1007/BF02968735 - PMC - PubMed

[9] Singh G, Sinha SK, Adhikary S, Babu KS, Ray P, Khanna SK (2002) Necrotising infections of soft tissues—a clinical profile. Eur J Surg 168(6): 366 – 71. 10.1080/11024150260284897. PMID: 12428876 - PubMed

[10] Singh G, Sinha SK, Adhikary S, Babu KS, Ray P, Khanna SK (2002) Necrotising infections of soft tissues—a clinical profile. Eur J Surg 168(6): 366 – 71. 10.1080/11024150260284897. PMID: 12428876 - PubMed

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Odontogenic Actinomycotic Necrotizing Fasciitis of Cervicothoracic Region: A Case Report

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Odontogenic Actinomycotic Necrotizing Fasciitis of Cervicothoracic Region: A Case Report

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