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Revista de Ciencias Médicas de Pinar del Río
On-line version ISSN 1561-3194
Abstract
RODRIGUEZ LEZCANO, Alexander; SANCHEZ VINENT, Lizabeth and PACHECO VALDES, Iliana. Necrotizing fasciitis in the anterior region of neck. Rev Ciencias Médicas [online]. 2020, vol.24, n.3 Epub May 01, 2020. ISSN 1561-3194.
Introduction:
necrotizing fasciitis corresponds to a bacterial infection of the soft tissues, characterized by diffuse necrosis and rapidly progressive infection of the cellular subcutaneous tissue and muscular aponeurotic system, accompanied by an accentuated septic systemic compromise.
Case report:
a 66 year old, male, black patient with a history of a laryngeal neoplasia without histological diagnosis, who came to the emergency room of the otolaryngology service at Abel Santamaria Cuadrado General Teaching Hospital. He presented an inadequate chart of general condition, fever, inspiratory dyspnea and stridor; at physical examination, an ulcer necrotic lesion of great extension was found in the anterior region of neck and a laryngeal neplasia triggering a laryngeal dyspnoeic syndrome; performing necrectomy and tracheostomy as well as the admission of patient.
Conclusions:
necrotizing fasciitis of the anterior region of neck from the starting point of a laryngeal neoplasia is a rare infection, having a rapidly and progressive expansion of difficult diagnosis in early stages.
Keywords : NECK; FASCIITIS, NECROTIZING; LARYNGEAL NEOPLASMS; DEBRIDEMENT; TRACHEOSTOMY.