Necrotizing Fasciitis and Mediastinitis after Wisdom Tooth Extraction: A Case Report

Necrotizing soft tissue infections with mediastinal extension are exceedingly rare. This submission provides dynamic and static visual stimuli (CT images) and a case report describing the history of present illness, initial ED presentation and inpatient course of a 33-year-old man who developed faci...

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Detalles Bibliográficos
Autores principales: Edwards, Jennifer, Fisher, Ryan, Vempati, Amrita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Department of Emergency Medicine, University of California, Irvine School of Medicine 2020
Materias:
Visual EM
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332516/
https://www.ncbi.nlm.nih.gov/pubmed/37465329
http://dx.doi.org/10.21980/J8XW7K
Descripción
Sumario:Necrotizing soft tissue infections with mediastinal extension are exceedingly rare. This submission provides dynamic and static visual stimuli (CT images) and a case report describing the history of present illness, initial ED presentation and inpatient course of a 33-year-old man who developed facial necrotizing fasciitis complicated by mediastinitis secondary to odontogenic infection following wisdom tooth extraction. Discussion of the key features of this rare presentation, the diagnostic and therapeutic approaches to making the diagnosis (including CT), and the role of the Emergency Physician, are highlighted. TOPICS: Necrotizing fasciitis, necrotizing mediastinitis, odontogenic infection, CT scan.

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