THE NECROTIZING CERVICAL FASCIITIS – CASE PRESENTATION

Abstract

The necrotizing fasciitis represents a special category of diffuse effusion, with fulminant evolution and bad prognosis. In this paper we present the case of a patient suffering from cervico-facial necrotizing fasciitis with a starting point in the right genian region, extending at the level of the superficial fascial system of the neck and reaching the level of the suprasternal integuments. A radical surgical intervention, associated with an energetic antibacterial treatment and the maintenance of the general condition have led to a favourable result in the evolution of the disease. In most cases the necrotizing fasciitis develops along the laterocervical spaces and is accompanied by mediastinal septic complications. Under such circumstances, an effective mediastinal drainage is absolutely necessary. The case presented in this paper is special because of the evolution of the disease mostly at integumentary and superficial fascial level. We consider an early diagnosis and the surgical intervention as the main factors that determine the evolution of such patients.