Cervicofacial necrotizing fasciitis of odontogenic origin following chemotherapy: a case report and implications for oral care in cancer treatment
Niger. J. Dent. Res
; 3(2): 105-109, 2018. ilus
Article
in English
| AIM
| ID: biblio-1266979
Responsible library:
CG1.1
ABSTRACT
Objective:
Cervicofacial necrotizing fasciitis (CNF) is a rapidly spreading and often fatal infection of the soft tissues of head and neck characterized by tissue necrosis and profuse purulent discharge. This report describes a cancer patient, who had undergone chemotherapy and developed CNF of odontogenic origin to highlight the need for oral examination before commencement ofchemotherapy.Case description A 68 years old retired gardener who developed CNF from infected right permanent mandibular first and second molars. He had undergone surgery and had 3 cycles of Cisplatin, 5-Fluorouracil and Adriamycin on account of carcinoma of the head of pancreas. No oral assessment was carried out prior to commencement of chemotherapy to detect a potential source of infection. Management included removal of the causative teeth, incision and drainage, repeated debridement, daily dressing of wound with Povidone-iodine solution and intravenous antibiotic based on pus microscopy, culture and sensitivity report. He however succumbed to the disease 23 days later.Conclusion:
CNF of odontogenic origin is an extremely fatal condition. Early detection and prompt aggressive treatment is a key to successful outcome. Clinicians involved with management of cancer patients should routinely seek the expertise of a dentist for a pre-chemotherapy oral assessment and all potential sources of infections are removed before chemotherapy begins
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Index:
AIM (Africa)
Main subject:
Oral Hygiene
/
Actinomycosis, Cervicofacial
/
Carcinoma
/
Fasciitis, Necrotizing
/
Chemotherapy-Induced Febrile Neutropenia
/
Nigeria
Type of study:
Screening study
Country/Region as subject:
Africa
Language:
English
Journal:
Niger. J. Dent. Res
Year:
2018
Type:
Article
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