Necrotizing soft tissue infection following routine third molar extraction: report of two cases and review of the literature |
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| Affiliation: | 1. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ondokuz Mayıs University, Samsun, Turkey;2. Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, Ondokuz Mayıs University, Samsun, Turkey;3. Department of Orthodontics, Faculty of Dentistry, Ondokuz Mayıs University, Samsun, Turkey;4. Private Dental Clinic, Izmir, Turkey;5. Private Dental Clinic, Samsun, Turkey;6. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Bezmialem Vakif University, Istanbul, Turkey;1. Resident, Department of Oral Surgery, Shanghai Ninth People''s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine National Clinical Research Center for Oral Diseases and Shanghai Key Laboratory of Stomatology and Shanghai Research Institute of Stomatology, Shanghai, People''s Republic of China;2. Master, Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People''s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine National Clinical Research Center for Oral Diseases and Shanghai Key Laboratory of Stomatology and Shanghai Research Institute of Stomatology, Shanghai, People''s Republic of China;3. Attending Physician, Department of Oral Surgery, Renji Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai, People''s Republic of China;4. Professor, Department of Stomatology, Meitian Dental Clinic, Shanghai, People''s Republic of China;6. Professor, Department of Oral Surgery, Ninth People''s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine and Shanghai Key Laboratory of Stomatology, Shanghai, People''s Republic of China;5. Attending Physician, Department of Oral Surgery, Shanghai Ninth People''s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine National Clinical Research Center for Oral Diseases Shanghai Key Laboratory of Stomatology and Shanghai Research Institute of Stomatology, Shanghai, People''s Republic of China;1. Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China;2. Department of ICU, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China;3. Department of Oral Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China;4. Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China |
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| Abstract: | Necrotizing cellulitis, necrotizing fasciitis, and necrotizing myositis are a constellation of severe soft tissue infections characterized by rapid progression, dusky soft tissue changes, and edema and induration expanding beyond the clinical wound edges. The cases of two female patients with type II necrotizing soft tissue infections occurring after routine third molar extraction are reported here. The patients were treated for the infections at the University of North Carolina Hospitals in 2016. Both were previously healthy. Of particular interest, recent inoculation of group A Streptococcus appears to have contributed to the infection in both cases. |
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| Keywords: | infection necrotizing fasciitis mediastinitis |
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