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- Title
FASCITE NECROSANTE CERVICAL APÓS EXTRAÇÃO DENTÁRIA EM PACIENTE COM LEUCEMIA EOSINOFÍLICA CRÔNICA: RELATO DE CASO.
- Authors
Pereira da Silva, Thaís Xavier; Teixeira Peçanha de Melo, Larissa Cristina; Duarte da Costa Mendes, Vera Lúcia
- Abstract
Cervical necrotizing fasciitis (CNF) is a rare and severe infection that affects subcutaneous tissue and muscle fascia, causing necrosis. Most cases arise from odontogenic or pharyngeal infections, evolving into extensive necrosis and gas formation in the subcutaneous tissue and underlying fascia, with a high mortality rate. CNF is more common among patients with chronic diseases or immune suppression, possibly being more severe in these cases. This work reports the case of a patient diagnosed with chronic eosinophilic leukemia (CEL) who developed a condition of extensive lesion in the right submandibular/cervical region after a tooth extraction, presenting necrosis, liquefaction, necrolized exudate, and compatible muscle tissue exposure - clinical aspect that, associated with data on computed tomography, enabled CNF diagnosis. The patient was hospitalized and followed-up by a multidisciplinary team. This article aims to report that CNF is a rapidly progressing, potentially fatal infection, requiring immediate diagnosis and intervention. The infection may arise from a complication following tooth extraction, especially in patients with chronic diseases or immunological suppression. Considering that, the oral surgeon must include this condition within post-extraction infections differential diagnosis, where a multidisciplinary approach is fundamental for diagnosing and establishing an appropriate treatment.
- Subjects
CHRONIC diseases; DENTAL extraction; IMMUNOSUPPRESSION; DIFFERENTIAL diagnosis; HYPEREOSINOPHILIC syndrome; HEALTH care teams; NECK; COMPUTED tomography; NECROTIZING fasciitis; RARE diseases
- Publication
Enfermagem Atual in Derme, 2022, Vol 96, Issue 39, p1
- ISSN
2447-2034
- Publication type
Article
- DOI
10.31011/reaid-2022-v.96-n.39-art.1483