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Cervical necrotizing fasciitis: An uncommon sequela to dental infection
551
CURRENT LITERATURE
Cervical Necrotizlng Fasciltis: An Uncommon Sequela to Dental Infection. Moss RM, Kunpittaya S, Sorasuchart A. Ann Otol Rhino1 Laryngol 99543, 1990
skin and muscle. Although more common in groin, abdomen, and extremities, it occurs in head and neck, usually secondary to dental infection. Other infected areas of the head and neck can lead to NF where chronic systemic debilitating illnesses such as diabetes mellitus prevail. Where NF is suspected, a CT scan will aid in assessing the full extent of the infection. Cultures and Gram stains should be performed. Initial intravenous antibiotics should be broad spectrum, including high doses of penicillin and clindamycin or chloramphenicol for penicillinresistant organisms. Early detection, radical debridement and drainage of all infected tissue will reduce mortality.G.H. SPERBER
Necrotizing fasciitis (NF) (“gangrene”) is a polymicrobial soft-tissue, potentially lethal, infection causing necrosis of fascia and subcutaneous tissue while sparing
Reprint requests to Dr Moss: Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
along with healing by second intention,
was performed in 39 of 41 patients with no significant functional or cosmetically unacceptable results. The lack of recurrence is attributed to complete excision and to the fact that our cases were limited to stage TlNOMO and T2NOMO.-P.H. ARTENBERG Reprint requests to Dr Roenigk: Department of Dematology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.
Cl-II
LDREN
2101 Wilson Blvd Suite 550 (703) 2354900 TDD: 1-800-828-7853 l
l
Arlington,
VA 22201
MORIAH YARDEN Nonfamily Abduction Missing From: Brussels. Belgium Date Missing: 12/l l/86 Date of Birth: 06/07/82 Age at Disappearance: 4 years Sex: Female Race: White Weight: 80 lb Height: 4 ft 4 in Hair: Brown Eyes: Brown Identifying Information: Child has a birthmark on her chest. The child may be known as “Rachael” and may be known by a different last name. Circumstances: Child and her sister and brother were abducted by their noncustodial father who has since been arrested and is currently serving time in Belgium, but refuses to reveal the children’s whereabouts. They are believed to be in Hasidic communities. ANYONE HAVING INFORMATION SHOULD CONTACT The National Center For Missing and Exploited Children l-800-843-5678 OR New York State Division of Criminal Justice Services (New York) Missing Persons Unit 1-518-457-6326
CURRENT LITERATURE
Cervical Necrotizlng Fasciltis: An Uncommon Sequela to Dental Infection. Moss RM, Kunpittaya S, Sorasuchart A. Ann Otol Rhino1 Laryngol 99543, 1990
skin and muscle. Although more common in groin, abdomen, and extremities, it occurs in head and neck, usually secondary to dental infection. Other infected areas of the head and neck can lead to NF where chronic systemic debilitating illnesses such as diabetes mellitus prevail. Where NF is suspected, a CT scan will aid in assessing the full extent of the infection. Cultures and Gram stains should be performed. Initial intravenous antibiotics should be broad spectrum, including high doses of penicillin and clindamycin or chloramphenicol for penicillinresistant organisms. Early detection, radical debridement and drainage of all infected tissue will reduce mortality.G.H. SPERBER
Necrotizing fasciitis (NF) (“gangrene”) is a polymicrobial soft-tissue, potentially lethal, infection causing necrosis of fascia and subcutaneous tissue while sparing
Reprint requests to Dr Moss: Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
along with healing by second intention,
was performed in 39 of 41 patients with no significant functional or cosmetically unacceptable results. The lack of recurrence is attributed to complete excision and to the fact that our cases were limited to stage TlNOMO and T2NOMO.-P.H. ARTENBERG Reprint requests to Dr Roenigk: Department of Dematology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.
Cl-II
LDREN
2101 Wilson Blvd Suite 550 (703) 2354900 TDD: 1-800-828-7853 l
l
Arlington,
VA 22201
MORIAH YARDEN Nonfamily Abduction Missing From: Brussels. Belgium Date Missing: 12/l l/86 Date of Birth: 06/07/82 Age at Disappearance: 4 years Sex: Female Race: White Weight: 80 lb Height: 4 ft 4 in Hair: Brown Eyes: Brown Identifying Information: Child has a birthmark on her chest. The child may be known as “Rachael” and may be known by a different last name. Circumstances: Child and her sister and brother were abducted by their noncustodial father who has since been arrested and is currently serving time in Belgium, but refuses to reveal the children’s whereabouts. They are believed to be in Hasidic communities. ANYONE HAVING INFORMATION SHOULD CONTACT The National Center For Missing and Exploited Children l-800-843-5678 OR New York State Division of Criminal Justice Services (New York) Missing Persons Unit 1-518-457-6326