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KMID : 0602820110170010061
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Korean Journal of Bronchoesophagology
2011 Volume.17 No. 1 p.61 ~ p.64
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Atypical Type of Descending Necrotizing Fasciitis Spreading into the Lateral Chest Wall: Case Report
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Lee Yong-Jik
Lee Jong-Cheol
Lee Ho-Min
Kim Jung-Won
Jung Jong-Pil
Park Chang-Ryul
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Abstract
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Cervical necrotizing fasciitis is a rare but well known life-threatening soft tissue infection primarily affecting the superficial and deep cervial fascial planes. It may rapidly spread into the mediastinum along fascial planes. So, if proper diagnosis and prompt surgical debridement is delayed, the infection may cause descending necrotizing mediastinitis with extensive necrosis of overlying skin, destroying fascia and muscle. Therefore, the key to the successful outcome is early recognition and rapid initiation of definitive radical debridement. The authors report, along with a literature review, a case of cervical necrotizing fasciitis with atypical spreading into the lateral chest wall.
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KEYWORD
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Necrotizing fasciitis, Neck, Mediastinitis
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