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Pseudomonas aeruginosa as a culprit of cervical necrotizing fasciitis: A case report

INTRODUCTION AND IMPORTANCE: Necrotizing fasciitis is usually a polymicrobial infection and odontogenic source is usually the foci for infection in the neck region. Cervical necrotizing fasciitis due to Pseudomonas is a rare and potentially fatal complication in diabetic patients. The study highligh...

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Autores principales: Chaurasiya, Prem Shankar, Gurung, Shekhar, Karki, Saurab, Timilsina, Bibek, Shah, Ravikant, Neupane, Sandesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9568876/
https://www.ncbi.nlm.nih.gov/pubmed/36261949
http://dx.doi.org/10.1016/j.ijscr.2022.107713
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author Chaurasiya, Prem Shankar
Gurung, Shekhar
Karki, Saurab
Timilsina, Bibek
Shah, Ravikant
Neupane, Sandesh
author_facet Chaurasiya, Prem Shankar
Gurung, Shekhar
Karki, Saurab
Timilsina, Bibek
Shah, Ravikant
Neupane, Sandesh
author_sort Chaurasiya, Prem Shankar
collection PubMed
description INTRODUCTION AND IMPORTANCE: Necrotizing fasciitis is usually a polymicrobial infection and odontogenic source is usually the foci for infection in the neck region. Cervical necrotizing fasciitis due to Pseudomonas is a rare and potentially fatal complication in diabetic patients. The study highlights the importance of early intervention to improve the outcome of the patient. CASE PRESENTATION: We report a case of a 48-year female who presented with neck pain for 10 days. On further investigations, she had diabetic ketoacidosis, and a culture of the wound showed Pseudomonas. With appropriate antibiotics and surgical intervention, her condition gradually improved. CLINICAL DISCUSSION: Necrotizing fasciitis in the neck region with Pseudomonas without odontogenic infections is a rare occurrence. Early medical and surgical intervention leads to a better outcome. The location of the infection and its extensions can affect the prognosis. CONCLUSION: Physicians should be aware of cervical necrotizing fasciitis as a complication in diabetic ketoacidosis and install early treatment to improve survivability and the outcome.
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spelling pubmed-95688762022-10-16 Pseudomonas aeruginosa as a culprit of cervical necrotizing fasciitis: A case report Chaurasiya, Prem Shankar Gurung, Shekhar Karki, Saurab Timilsina, Bibek Shah, Ravikant Neupane, Sandesh Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Necrotizing fasciitis is usually a polymicrobial infection and odontogenic source is usually the foci for infection in the neck region. Cervical necrotizing fasciitis due to Pseudomonas is a rare and potentially fatal complication in diabetic patients. The study highlights the importance of early intervention to improve the outcome of the patient. CASE PRESENTATION: We report a case of a 48-year female who presented with neck pain for 10 days. On further investigations, she had diabetic ketoacidosis, and a culture of the wound showed Pseudomonas. With appropriate antibiotics and surgical intervention, her condition gradually improved. CLINICAL DISCUSSION: Necrotizing fasciitis in the neck region with Pseudomonas without odontogenic infections is a rare occurrence. Early medical and surgical intervention leads to a better outcome. The location of the infection and its extensions can affect the prognosis. CONCLUSION: Physicians should be aware of cervical necrotizing fasciitis as a complication in diabetic ketoacidosis and install early treatment to improve survivability and the outcome. Elsevier 2022-09-28 /pmc/articles/PMC9568876/ /pubmed/36261949 http://dx.doi.org/10.1016/j.ijscr.2022.107713 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Chaurasiya, Prem Shankar
Gurung, Shekhar
Karki, Saurab
Timilsina, Bibek
Shah, Ravikant
Neupane, Sandesh
Pseudomonas aeruginosa as a culprit of cervical necrotizing fasciitis: A case report
title Pseudomonas aeruginosa as a culprit of cervical necrotizing fasciitis: A case report
title_full Pseudomonas aeruginosa as a culprit of cervical necrotizing fasciitis: A case report
title_fullStr Pseudomonas aeruginosa as a culprit of cervical necrotizing fasciitis: A case report
title_full_unstemmed Pseudomonas aeruginosa as a culprit of cervical necrotizing fasciitis: A case report
title_short Pseudomonas aeruginosa as a culprit of cervical necrotizing fasciitis: A case report
title_sort pseudomonas aeruginosa as a culprit of cervical necrotizing fasciitis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9568876/
https://www.ncbi.nlm.nih.gov/pubmed/36261949
http://dx.doi.org/10.1016/j.ijscr.2022.107713
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