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Surgical management of necrotizing fasciitis due to odontogenic infection with sepsis: a case report

  • Saka S. Nugroho ,
  • Endang Syamsudin ,
  • Andri Hardianto ,
  • Lucky Riawan ,

Abstract

Objective:To perform surgical operation on necrotizing fasciitis due to odontegenic infection with sepsis.Methods: In this case an odontogenic infection was accompanied by a large open wound on the face and sepsis. Patient was hospitalized in the Dr.HasanSadikin General Hospital. Management of this patient in the emergency room were administration of appropriate broad-spectrum empiric antibiotic, incision and pus drainage, and extraction of the infected tooth, followed by fluid resuscitation with strict observation. Surgical debridement was then performed.Results:After being treated for 12 days the patient’s condition improved. We planned closure of defects of the facial area, but the patient refused.Conclusion: Necrotizing fasciitis is an uncommon but potentially lethal condition associated with high rates of morbidity and mortality. Early diagnosis coupled with emergent surgical debridement, appropriate broad-spectrum empiric antibiotic treatment, and a multidisciplinary team approach is essential for successful treatment.
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References

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How to Cite

Nugroho, S. S., Syamsudin, E., Hardianto, A., & Riawan, L. (2017). Surgical management of necrotizing fasciitis due to odontogenic infection with sepsis: a case report. Journal of Dentomaxillofacial Science, 2(1), 70–75. https://doi.org/10.15562/jdmfs.v2i1.455

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