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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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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. |
format | Online Article Text |
id | pubmed-9568876 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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