Cervico-facial necrotising fasciitis due to Candida albicans

Cervico-facial necrotising fasciitis due to Candida albicans Necrotising fasciitis of the face is a rare disease, associated with a high morbidity and mortality. Necrotising infections due to Candida albicans as the sole causative organism are extremely rare; more commonly the organism is found as a saprophytic constituent of a polymicrobial infection. We present the case of a 57-year-old man who developed cervico-facial necrotising fasciitis following a routine dental extraction. The only organism identified on tissue culture was C. albicans . He required extensive resection of the soft and bony tissues of the left side of his face and neck and subsequent free flap reconstruction. We discuss his initial management and primary reconstruction and review the literature regarding fungal necrotising fasciitis. Level of evidence: Level V, therapeutic study. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Cervico-facial necrotising fasciitis due to Candida albicans

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Publisher
Springer-Verlag
Copyright
Copyright © 2013 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-013-0837-0
Publisher site
See Article on Publisher Site

Abstract

Necrotising fasciitis of the face is a rare disease, associated with a high morbidity and mortality. Necrotising infections due to Candida albicans as the sole causative organism are extremely rare; more commonly the organism is found as a saprophytic constituent of a polymicrobial infection. We present the case of a 57-year-old man who developed cervico-facial necrotising fasciitis following a routine dental extraction. The only organism identified on tissue culture was C. albicans . He required extensive resection of the soft and bony tissues of the left side of his face and neck and subsequent free flap reconstruction. We discuss his initial management and primary reconstruction and review the literature regarding fungal necrotising fasciitis. Level of evidence: Level V, therapeutic study.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Jul 1, 2013

References

  • Molecular pathogenesis of necrotizing fasciitis
    Olsen, RJ; Musser, JM

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