TITLE:
Necrotizing Fasciitis in the Sub-Saharan Zone: Analysis of an Exceptional Case and Review of the Literature
AUTHORS:
Kassim Diarra, Nfaly Konaté, Yaya Dembélé, Youssouf Sidibe, Kalifa Coulibaly, Drissa Kaloga Bagayoko, Fatogoma Issa Koné, Siaka Soumaoro, Boubacary Guindo, Doumbia Kadidiatou Singaré, Mohamed Amadou Keita
KEYWORDS:
Necrotizing Fasciitis, Surgery, Sequelae
JOURNAL NAME:
International Journal of Otolaryngology and Head & Neck Surgery,
Vol.11 No.4,
July
29,
2022
ABSTRACT: Necrotizing fasciitis (FN) are severe, fulminant
infection with necrosis of the skin and superficial fascia. The variability of
the clinical picture and the severity of the condition make it a formidable
condition. B.A, 16 years old, breeder, was admitted to ENT hospitalization for
a large necrotic cervico-thoracic and dorsal ulceration of sudden onset
following febrile odynophagia. ENT examination: large necrotic wound extending
from the antero-posterior cervical region to the thoraco-abdominal and dorsal
region, letting pus weld with trismus at 1.5 cm and a fistula
of the anterior pillar of the right tonsil. Cytobacteriological examination of
the pus isolated Staphylococcus aureus. We instituted a probabilistic antibiotic therapy readjusted afterward to the
association amoxicillin clavulanic acid with the result of the antibiogram.
Incision, drainage and surgical debridement of all necrotic tissues were performed, leading to extensive loss of
skin substance. A daily local dressing was applied for 11 days, then replaced
by honey for 51 days. On the 64th day, he was entrusted to the dermatology
department for a skin graft where he stayed for 3 months. Conclusion: current
name, necrotizing bacterial dermohypodermatitis. Surgery has a key role in
treatment. Antibiotic therapy should be broad-spectrum.