## Abstract ## Background Necrotizing fasciitis of the head and neck is a rapidly progressing and lifeβthreatening condition. The purpose of this study was to describe the patients with a focus on clinical presentation, microbiology, treatment, and prognosis. ## Patients and Results Seventeen pa
Fulminant group A streptococcal necrotizing fasciitis of the head and neck region
β Scribed by V. Donckier; O. Paduart; S. Fontaine; M. Struelens; D. Parent; D. Goldschmidt
- Publisher
- Springer
- Year
- 1995
- Tongue
- English
- Weight
- 296 KB
- Volume
- 18
- Category
- Article
- ISSN
- 1435-0130
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β¦ Synopsis
A resurgence of severe group A streptococcal soft tissue infections has been observed in Europe and the United States during the last decade. These infections are characterized by extensive local destruction and systemic toxicity. In this particular entity, necrotizing fasciitis is the most common clinical presentation, usually localized in the lower abdomen or in the limbs. As streptococcal necrotizing fasciitis is associated with a high mortality rate, early diagnosis and aggressive surgical treatment are crucial in the management of these affections. We report a case of group A streptococcal necrotizing fasciitis of the face which is a rare localization. There was no history of trauma or infection in the head and neck region. The condition had a fulminant progression leading to toxic shock syndrome with a fatal outcome.
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## Abstract ## Background Necrotizing fasciitis is a disfiguring condition that can be fatal. The head and neck region is rarely affected. However, when involved, the functional and cosmetic sequelae can be considerable. ## Materials and Methods We present two case histories, discuss salient dia
## Abstract ## Background. Late complications of novel organ preservation multimodal protocols for the treatment of locally advanced head and neck cancer may be underreported in the literature. ## Methods and Results. We present the case of a 64βyearβold man with T4 N0 M0 squamous cell carcinoma
impetigo, erysipelas, and puerperal fever. Rheumatic fever and other serious infections caused by St. pyogenes had been declined during the 20th century.2p3 However, recent outbreaks of acute rheumatic fever and the newly recognized streptococcal toxic shock-like syndrome may reflect a renewed virul