Pediatric Cervicofacial Necrotizing Fasciitis—A Challenge for a Medical Team
Adina Simona Coșarcă,
Dániel Száva,
Bálint Bögözi,
Alina Iacob,
Anca Frățilă,
Guzun Sergiu
Affiliations
Adina Simona Coșarcă
Department of Oral and Maxillo Facial Surgery, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Targu Mures, Romania
Dániel Száva
Department of Oral and Maxillo Facial Surgery, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Targu Mures, Romania
Bálint Bögözi
Department of Oral and Maxillo Facial Surgery, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Targu Mures, Romania
Alina Iacob
Department of Oral and Maxillo Facial Surgery, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Targu Mures, Romania
Anca Frățilă
Oral and Maxillo Facial Surgery Clinic, Emergency County Hospital Târgu Mures, Gheorghe Marinesscu Street, No. 50, 540136 Targu Mures, Romania
Guzun Sergiu
Oral and Maxillo Facial Surgery Clinic, Emergency County Hospital Târgu Mures, Gheorghe Marinesscu Street, No. 50, 540136 Targu Mures, Romania
Cervical necrotizing fasciitis is a very rare complication of a bacterial infection that can have a dental cause. This type of infection typically affects fascial plane, which has a poor blood supply and can affect soft tissue and cervical fascia and can spread quickly causing infection of mediastinum. Initially, in the first stage, the overlying tissues are unaffected, and this can delay diagnosis and surgical intervention. Incidence in children is extremely rare and can be frequently associated with various other general pathologies that decrease the immune system response. We present a case of a young 12-year-old boy diagnosed with this type of infection in the head and neck as a complication of a second inferior molar pericoronitis. The treatment and the management of the case was difficult not only due to the presence of the infection but also because of the prolonged intubation.
