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- Title
Battling Cervical Necrotizing Fasciitis of Nodal Metastasis in Advanced Nasopharyngeal Carcinoma: A Management Odyssey.
- Authors
Aqilah Abdul Razak; Siti Halimahtun Sahab; Siti Sarah Razak; Noorizan Yahya; Mohamad Khir Abdullah
- Abstract
Introduction: Necrotizing fasciitis (NF) is an infectious disease of soft tissue that progresses rapidly and carries the potential for lethal outcome. Despite reported case studies, there remains a limited research focusing on NF in cervical nodal metastasis. Managing NF involves a multimodal approach. It includes not only broad-spectrum antibiotics but also multiple extensive debridements. Case Report: We are presenting a 69-year-old patient with multiple medical conditions and advanced Nasopharyngeal Carcinoma. Discussion: The patient's health issues make her at higher risk with general anesthesia for extensive wound debridement. Additionally, the body's reaction to surgical stress can foster an environment that supports tumor metastasis, potentially elevating the risk of tumor recurrence and the spread of cancer cells. Conclusion: In this case, while chemotherapy or radiotherapy is a part of her oncological treatment, it will be a challenge for wound healing. This case study highlights how thorough wound care can really help in treating NF in patients who might be at risk with conventional surgical interventions.
- Subjects
ANTIBIOTICS; LYMPH nodes; WOUND healing; CANCER relapse; DIFFERENTIAL diagnosis; HEAD &; neck cancer; EDEMA; NECK pain; FEVER; METASTASIS; NECROTIZING fasciitis; WOUND care; DEBRIDEMENT; GENERAL anesthesia; TUMOR classification; NASOPHARYNX tumors; DISEASE complications
- Publication
International Medical Journal, 2024, Vol 31, Issue 3, p70
- ISSN
1341-2051
- Publication type
Article