An unusual infection of cervicofacial area caused by dental pathology: flesh-eating syndrome

Serife Ozdinc; Ebru Unlu; Oya Oruc; Nese Nur User; Zeynep Karakaya

doi:10.1016/j.ajem.2015.07.035

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An unusual infection of cervicofacial area caused by dental pathology: flesh-eating syndrome☆☆☆

Serife Ozdinc, MD

Department of Emergency Medicine, School of Medicine, Afyon Kocatepe University, Afyonkarahisar, Turkey

Ebru Unlu, MD

Department of Radiology, School of Medicine, Afyon Kocatepe University, Afyonkarahisar, Turkey

Oya Oruc, MD

Nese Nur User, MD

Department of Emergency Medicine, School of Medicine, Afyon Kocatepe University, Afyonkarahisar, Turkey

Zeynep Karakaya, MD

Clinic of Emergency Medicine, Atatürk Training and Research Hospital, İzmir Katip Celebi University, Izmir, Turkey

DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.035

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Fig. 1

Contrast-enhanced CT image shows fluid and air collections in the left parapharyngeal space and retropharyngeal space.

Fig. 2

Contrast-enhanced CT image shows fluid and air collections extending to the left infratemporal fossa and frontotemporal scalp.

Fig. 3

Contrast-enhanced coronal CT image shows edema of the subcutaneous fat and collections of gas in the right buccal space and neck area, enlarged parotid and submandibular gland, and enlargement of the right masseter muscle.

Fig. 4

Contrast-enhanced axial CT image shows edema of the subcutaneous fat and collections of gas in the right buccal space and neck area, enlarged parotid and submandibular gland, and enlargement of the right masseter muscle.

Necrotizing fasciitis (NF) of the cervicofacial area is highly rare, but physicians should be familiar with the presentation of this situation owing to the suddenness of its beginning, the rapidness of its spread, and ending with high mortality and morbidity. In this article, 5 patients with NF admitted to emergency department with dental pathology history were discussed with a review of the literature. The purpose of this case series is to raise awareness about NF of the cervicofacial area caused by dental pathologies.

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☆There is no any source of support in the form of equipment, drugs, or grants related to our manuscript.

☆☆This manuscript has not been presented at any organization.

An unusual infection of cervicofacial area caused by dental pathology: flesh-eating syndrome☆☆☆

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