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KMID : 1146620180070010037
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Journal of Korean Academy of Advanced General Dentistry
2018 Volume.7 No. 1 p.37 ~ p.43
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Descending Facial Necrotizing Fasciitis with Mediastinitis in a Patient using LRINEC Score
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Yang Sun-In
Jee Yu-Jin
Ryu Dong-Mok
Lee Deok-Won
Kang Mi-Ju
Jung Sang-Pil
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Abstract
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Cellulitis, abscess and necrotic fasciitis due to severe odontogenic infection threaten from patient’s quality of life and health to patient’s life. Poor oral hygiene and odontogenic infection can develop facial necrotizing fasciitis, mediastinitis, and various complications for the patient. The Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) can detect necrotic fasciitis quickly and is widely used to prevent the symptoms of disease from deteriorating. To prevent complicated condition, early diagnosis is the most important key-point to dentist and LRINEC scoring system can be used as early-diagnosis tool for infectious disease in oral and maxillofacial area. We present a case of descending necrotizing fasciitis exacerbated to mediastinitis with severe systematic diseases. Also, we present the changes of patient’s data during treatment period and 2-year of follow-up.
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KEYWORD
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Odontogenic infection, Cellulitis, Necrotizing fasciitis
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