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Cervical Thoracic Necrotizing Fasciitis with the Mammary Gland Spread of Odontogenic Origin
Department of Thoracic Surgery, Hospital of Mali, Bamako, Mali
Department of Thoracic Surgery, Hospital of Mali, Bamako, Mali
Department of Thoracic Surgery, Hospital of Mali, Bamako, Mali
Department of Thoracic Surgery, Hospital of Mali, Bamako, Mali
Department of Thoracic Surgery, Hospital of Mali, Bamako, Mali
Department of Thoracic Surgery, Hospital of Mali, Bamako, Mali
Department of Reanimation and Emergency, Hospital of Mali, Bamako, Mali
Department of Reanimation and Emergency, Hospital of Mali, Bamako, Mali
Department of Surgery “A”, Hospital of Point G, Bamako, Mali
Department of Surgery “A”, Hospital of Point G, Bamako, Mali
Department of Surgery “A”, Hospital of Point G, Bamako, Mali
Department of Thoracic Surgery, Hospital of Mali, Bamako, Mali
Department of Surgery “A”, Hospital of Point G, Bamako, Mali
Department of Surgery “A”, Hospital of Point G, Bamako, Mali
- 1 Department of Thoracic Surgery, Hospital of Mali, Bamako, Mali
- 2 Department of Thoracic Surgery, Hospital of Mali, Bamako, Mali
- 3 Department of Thoracic Surgery, Hospital of Mali, Bamako, Mali
- 4 Department of Thoracic Surgery, Hospital of Mali, Bamako, Mali
- 5 Department of Thoracic Surgery, Hospital of Mali, Bamako, Mali
- 6 Department of Thoracic Surgery, Hospital of Mali, Bamako, Mali
- 7 Department of Reanimation and Emergency, Hospital of Mali, Bamako, Mali
- 8 Department of Reanimation and Emergency, Hospital of Mali, Bamako, Mali
- 9 Department of Surgery “A”, Hospital of Point G, Bamako, Mali
- 10 Department of Surgery “A”, Hospital of Point G, Bamako, Mali
- 11 Department of Surgery “A”, Hospital of Point G, Bamako, Mali
- 12 Department of Thoracic Surgery, Hospital of Mali, Bamako, Mali
- 13 Department of Surgery “A”, Hospital of Point G, Bamako, Mali
- 14 Department of Surgery “A”, Hospital of Point G, Bamako, Mali
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Abstract
Necrotizing fasciitis is an uncommon infection, but potentially lethal, especially when associated with systemic disorders such as diabetes. We report the case of a 35-year-old female with uncontrolled diabetes mellitus, presenting with edema of the neck, facial and left mammary gland, secondary to untreated dental infection, progressing to a full-blown necrotizing fasciitis in a short period of time with sepsis. The patient was managed with aggressive multidisciplinary medical and surgical treatment. Despite the technologic advances in diagnosis and treatment, complications still result with astounding high mortality. Clearly, the morbidity associated to this infection, even in diabetic patients, can be minimized if an early diagnosis and effective debridement are done.
KeywordsFasciitisNecrotizingMammary GlandAntibioticsSurgery
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