Cervicofacial Necrotizing Fasciitis and Its Relationship with Aeromona Hydrophila
Journal Title: Journal of Dentistry and Oral Sciences - Year 2020, Vol 2, Issue 4
Abstract
Introduction: Necrotizing fasciitis is a severe polymicrobial infection with rapid progression and significant tissue destruction, which requires immediate antimicrobial and surgical management; the frequent location is in the extremities (pelvic and thoracic), genitals and thorax, its appearance being rare in the cervicofacial region, it is very rarely associated with causal agents such as Aeromonahydrophila, however, the presence of said bacillus in contaminated water can manifest as Fasciitis Cervicofacial necrotizing agent (CNF). Material and Method: A retrospective, descriptive, cross-sectional, observational study was carried out in Maxillofacial Surgery at the “La Raza” Medical Center, for one year. All patients with a diagnosis of Necrotizing Cervicofacial Fasciitis (CNF). For one year who had cultures and blood cultures, with Aeromonahydrophila, who had been cared for in the Maxillofacial Surgery service from October 1, 2013, to October 1, 2014, were included. Discussion: Giant oral floor cysts located under the mylohyoid muscle are usually removed extra orally. We report the case of a large dermoid cyst of the floor of the mouth, with extension at the base of the tongue, removed intraorally. Results: A sample of 7 patients with a diagnosis of Necrotizing Cervicofacial Fasciitis was obtained; dental origin, of which 3 were women and 4 men; the mean age was 66.7 years; A correlation was made with respect to comorbidities, the management was given by the Maxillofacial Surgery service of the “La Raza” Medical Center was surgical and clinical, with support from the central laboratory of the “Dr. Antonio Fraga Mouret ”and the central epidemiology laboratory of the same hospital, blood cultures and bacterial tissue culture (biopsy) were performed, respectively. The taking of cultures was proportional to the number of surgical events, only 3 patients of which their blood cultures reported the development, two of them presented Gram (+) and Gram (-) and the third Gram (+) and Facultative aerobes. From the tissue cultures, the biota reported was: Candida Albicans; Candida Krusei, Morganella morganii, Coryneform bacilli, Enterobacter aerogenes, Trichosporonasahii, Pseudomona aeruginosa and only one developed AeromonaHydrophila. Antibiotic was administered based on the antibiogram obtained individually with specificity for each case as reported in the cultures. Discussion and Conclusion: CNF is an entity rarely associated with Aeromonahydrophila, it is common to find another type of microbiota in this entity, however, it should be known that this A.hydrophila bacillus is frequently isolated in contaminated water and the patient can acquire it by performing any daily activity, more if you have any injury or previous immunocompromise. The importance of medical-surgical management will determine the prognosis of the patient, the correct extension of debridement and resection will allow delimiting the CNF and the multidisciplinary management together will reduce complications (septic shock, multiple organ failure, death) if it is carried out in a timely manner.
Authors and Affiliations
Juárez-Rebollar Alejandra Giselle1*, López-Saucedo Francisco2, Juárez-Rebollar Daniel3 and Juárez-Paredes Celso Marcelo4
Keywords
Related Articles
- EP ID EP707483
- DOI https://doi.org/10.37191/Mapsci-2582-3736-2(4)-048
- Views 76
- Downloads 0
A Novel Approach to Restore a Decayed Mandibular Posterior Tooth by Immediate Implant Placement Using Autogenous Tooth Graft Material Mixed with Platelet-Rich Fibrin: A Case Report
A dental implant is the most accepted treatment option to replace the badly decayed tooth or missing tooth. The jumping gap left after the placement of the implant in the socket will require augmentation of bone graft m...
Editor Note
It is with great delight to introduce you "Journal of Dentistry and Oral Sciences", the journal aiming to publish works of great distinctions in the area of dentistry. The intention of this journal is to bring broader in...
Microtomography Evaluation of the Efficacy of Reciprocating and Rotary Instruments Followed by Different Complementary Steps in the Retreatment of Curved Root Canals
Objectives: The purpose of this study was to evaluate the efficacy of steps, isolated or in cumulative means, in the endodontic retreatment of curved canals. Methodology: Forty mesial roots of mandibular molars were d...
Subepithelial Connective Tissue Graft for Gingival Recession Coverage: A Case Report
The Gingival recession is considered a multi-factorial. The etiology may be an anatomically vulnerable area, faulty tooth brushing, high frenum attachment. In cases where there is progressive recession, aesthetics concer...
Antimicrobial Property of Lemongrass Oil against Porphyromonas Gingivalis
Aim: This study determines molecular docking to know the selected active compounds of lemon grass against bacterial receptor proteins of Porphyromonasgingivalis and the minimum inhibitory concentration of lemon grass ext...