Résumé
Background: Necrotizing soft tissue infection (NSTI) is a serious condition that can be diagnosed on a high index of suspicion and require urgent surgical treatment. NSTI involved epidermis and dermis but more frequently it affects the deeper layer of adipose tissue, fascia, and muscle. NSTI diagnosis and its treatment include emergent surgical intervention and the use of appropriate antibiotics. In this study, we have been evaluated the laboratory risk indicator for necrotizing fasciitis (LRINEC) score in predicting the outcomes in patients of NSTI.Methods: We have conducted a prospective study of 36 patients with NSTI. The LRINEC score, predisposing factors, etiology, risk factors, causative microbiological organisms have been studied.Results: LRINEC score >8 is associated with NSTI in all cases. The mortality and morbidity, length of stay including ICU stay increases with an increase in LRINEC score. The most common microorganism was found to be E. coli followed by Klebsiella.Conclusions: Although, we used the emergent and liberal debridement and appropriate antibiotic and resuscitation. In this study, morbidity, mortality, and length of hospital stay all are increased with respect to the increase in LRINEC score.
Résumé
Pleomorphic adenoma is the most common benign tumor of the major or minor salivary glands. The incidence in the other parts of the head and neck region is very low and in most of the cases, the lesion is located in the upper aerodigestive tract, namely, the oral and pharyngeal and occasionally, in the nasal cavity. Cases involving regions where minor salivary glands are not normally present are extremely rare. We report a 35-year-old female who presented with progressive swelling at nasal vestibule of 9 months duration. The mass was excised and the histopathological report revealed it to be pleomorphic adenoma.