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Craniofacial necrotizing fasciitis secondary to sinusitis

Published online by Cambridge University Press:  29 June 2007

Eduardo Raboso*
Affiliation:
ENT Department, Hospital Ramon y Cajal, Madrid, Spain.
Maria T. Llavero
Affiliation:
ENT Department, Hospital Ramon y Cajal, Madrid, Spain.
Antonio Rosell
Affiliation:
ENT Department, Hospital Ramon y Cajal, Madrid, Spain.
Antonio Martinez-Vidal
Affiliation:
ENT Department, Hospital Ramon y Cajal, Madrid, Spain.
*
Address for correspondence: E. Raboso, Departamento de ORL, Hospital Ramon y Cajal, Carretera de Colmenar Viejo Km 9.1, 28034 Madrid, Spain. Fax: 34-1-3368733 e-mail: pantoja@anit.es

Abstract

Necrotizing fasciitis is a rare condition which usuallyaffects the trunk, perineum and limbs. Head and neck involvement is very uncommon and in most cases it is secondary to orbital or dental infection. We report a case of craniofacial necrotizing fasciitis (CNF) secondary to a maxillary sinusitis. The patient was treated intensively with antibiotics, surgical procedures and life-support measures.Despite all efforts, the patient died one week after admission. This case highlights early diagnosis and aggressive management as decisivefactors for the outcome of the patient.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1998

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