LABIOFACIAL NECROTIZING FASCIITIS: A CASE REPORT

• Published in: Oral surgery, oral medicine, oral pathology and oral radiology Vol. 129; no. 1; p. e20
• Main Authors: DE ALMEIDA LANÇA, MARIA LETICIA, FILHO, VALFRIDO ANTÔNIO PEREIRA, BUFALINO, ANDREIA, DE OLIVEIRA BARBEIRO, CAMILA, DOS SANTOS, JOSÉ CLEVEILTON, ROCH, AUDREY FOSTER LEFORT, NAVARRO, CLÁUDIA MARIA
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01.01.2020
• ISSN: 2212-4403; 2212-4411
• DOI: 10.1016/j.oooo.2019.06.027

Necrotizing fasciitis (FN) is a rapidly progressive infection of the deeper tissues with destruction of muscle fascia and a high mortality rate. It is extremely rare and usually it is related to immunosuppression or other systemic debilitating conditions. A 26-year-old white male presented with upper lip edema, with phlogistic signs and infiltration through the infraorbital space along with the presence of tissue necrosis. According to the report, the condition was marked by rapid progression, and the initial manifestation was an acnelike lesion. The treatment was done immediately by incision, drainage, debridement, and installation of drains. The muscle fascia was necrotic, gray, and there was an absence of resistance. Laboratory tests were performed and the microbiologic culture was positive for Staphylococcus aureus. Endovenous antibiotic therapy was administered and the wound was irrigated daily. Healing was completed within a month. NF is a rare infection that must be diagnosed and treated aggressively to avoid tissue loss and to decrease the mortality rate.