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Arch Otolaryngol Head Neck Surg. 2004;130:482-483.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Cervical necrotizing fasciitis (CNF), odontogenic origin

The patient was taken to the operating room for a neck exploration, which revealed a fetid odor and bilateral necrosis of his sternocleidomastoid and strap muscles, which were aggressively debrided. He had bilateral chest tubes placed for drainage and underwent dental extractions. He was also treated with broad-spectrum antibiotics. The cervical skin flaps were kept open, debrided twice a day, and loosely packed with gauze soaked with half-strength hydrogen peroxide. He subsequently developed a pharyngocutaneous fistula, which was treated conservatively with packing and pressure dressings. Cultures yielded Peptostreptococcus species, Enterococcus, Clostridium difficile, Eikenella corrodens, and Candida albicans, and his antibiotic therapy was appropriately modified based on the culture sensitivities. He remained in the hospital for 5 weeks, after which he was transferred to a rehabilitation center. He subsequently underwent decannulation and is currently swallowing without any difficulty.

Cervical necrotizing fasciitis is an acute soft tissue infection . . . [Full Text of this Article]

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