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Asociación Colombiana de Otorrinolaringología y Cirugía de Cabeza y cuello, Maxilofacial y Estética Facial (ACORL)

2021, Number 2

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Acta de Otorrinolaringología CCC 2021; 49 (2)

Cervical necrotizing fasciitis: Experience in the Hospital General Dr. Manuel Gea González, Mexico City, Mexico

Córdoba-Del Castillo MR, Castillo-Ventura BB, Ramírez HJP

Language: Spanish
References: 23
Page: 129-136
PDF size: 375.14 Kb.


ABSTRACT

Introduction: Cervical necrotizing fasciitis is a rare entity in the head and neck, but its importance is given by the high mortality rate. The clinical importance of this study is due to the fact that there are not many case reports of this pathology in Latin America, which is why we want to describe the experience in our hospital. Objective: To describe the experience in cervical necrotizing fasciitis at the Hospital General Dr. Manuel Gea González. Materials and methods: Descriptive, retrospective and cross-sectional study of medical records of the Otorhinolaryngology and Head and Neck Surgery Service of the Hospital General Dr. Manuel Gea González, from 2011 to 2017. Results: 11 medical records with a diagnosis of cervical necrotizing fasciitis were included, of which 8 (72.7%) were men and 3 (27.2%) were women, with a mean age of 49.1 years. 5 (45.4%) patients presented with type 2 diabetes mellitus. The origin of the infection was odontogenic in 3 (27.2%) patients. The most frequent microorganisms were Klebsiella pneumoniae, Streptococcus anginosus and Staphylococcus epidermidis. The 11 patients (100%) underwent surgery and impregnated with empirical antimicrobials, which were later modified or not, according to the results of the antibiogram. The average hospitalization was 18.7 days. 3 (27.2%) patients presented mediastinitis as a complication. There were two deaths (18.1%). Conclusion: Early diagnosis and aggressive empirical and surgical antimicrobial treatment can significantly reduce morbidity and mortality.


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