Cervical necrotizing fasciitis due to Klebsiella

Ami Mazita, Asma Abdullah, S. H A Primuharsa Putra, Mazita Ami

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Necrotizing fasciitis is an aggressive infection involving fascia and subcutaneous tissue thus causing infectious thrombosis of the nutrient vessels to the overlying skin ultimately leading to extensive necrosis. Although necrotizing fasciitis is common in the perineum, abdominal wall and extremities it is relatively uncommon in the head and neck region. This is a case report of a 65 year old female visiting from India who presented with diabetic ketoacidosis precipitated by cervical necrotizing fasciitis. Computed tomography imaging showed involvement of the left parapharyngeal space and there was soft tissue gas present. This patient subsequently underwent an emergency neck exploration and desloughing. Repeated pus culture studies isolated Klebsiella species as the sole pathogen. Our case illustrates that prompt diagnosis and treatment of cervical necrotizing fasciitis can ensure a good outcome.

Original languageEnglish
Pages (from-to)657-659
Number of pages3
JournalMedical Journal of Malaysia
Volume60
Issue number5
Publication statusPublished - 2005

Fingerprint

Necrotizing Fasciitis
Klebsiella
Neck
Perineum
Diabetic Ketoacidosis
Suppuration
Fascia
Subcutaneous Tissue
Abdominal Wall
India
Emergencies
Thrombosis
Necrosis
Extremities
Gases
Head
Tomography
Food
Skin
Infection

Keywords

  • Klebsiella
  • Necrotizing fasciitis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Mazita, A., Abdullah, A., Putra, S. H. A. P., & Ami, M. (2005). Cervical necrotizing fasciitis due to Klebsiella. Medical Journal of Malaysia, 60(5), 657-659.

Cervical necrotizing fasciitis due to Klebsiella. / Mazita, Ami; Abdullah, Asma; Putra, S. H A Primuharsa; Ami, Mazita.

In: Medical Journal of Malaysia, Vol. 60, No. 5, 2005, p. 657-659.

Research output: Contribution to journalArticle

Mazita, A, Abdullah, A, Putra, SHAP & Ami, M 2005, 'Cervical necrotizing fasciitis due to Klebsiella', Medical Journal of Malaysia, vol. 60, no. 5, pp. 657-659.
Mazita, Ami ; Abdullah, Asma ; Putra, S. H A Primuharsa ; Ami, Mazita. / Cervical necrotizing fasciitis due to Klebsiella. In: Medical Journal of Malaysia. 2005 ; Vol. 60, No. 5. pp. 657-659.
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