A Case of Necrotizing Soft-tissue Infections Accompanied with Broad Necrosis of Buccal Skin and Subcutaneous Tissue

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  • KONDO Seiji
    Department of Oral and Maxillofacial Surgery, Showa University School of Dentistry
  • KAMATANI Katsuaki
    Department of Oral and Maxillofacial Surgery, Showa University School of Dentistry
  • KUTSUNA Tomohiko
    Department of Oral and Maxillofacial Surgery, Showa University School of Dentistry
  • YOSHIHAMA Yasuto
    Department of Oral and Maxillofacial Surgery, Showa University School of Dentistry
  • SHIROTA Tatsuo
    Department of Oral and Maxillofacial Surgery, Showa University School of Dentistry
  • SHINTANI Satoru
    Department of Oral and Maxillofacial Surgery, Showa University School of Dentistry

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Other Title
  • 広範な頬部皮膚皮下組織壊死を伴った壊死性軟部組織感染症の一例
  • 症例報告 広範な頬部皮膚皮下組織壊死を伴った壊死性軟部組織感染症の一例
  • ショウレイ ホウコク コウハン ナ ホオブ ヒフ ヒカ ソシキ エシ オ トモナッタ エシセイナンブ ソシキ カンセンショウ ノ イチレイ

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Abstract

Necrotizing soft-tissue infections (NSTIs) are defined as infections of any of the layers within the soft tissue compartment that are associated with necrotizing changes. NSTIs are clasified into two clinical forms, gas gangrene (clostridial-, non clostridial-myonecrosis) and necrotizing fasciitis. NSTIs occurring after odontogenic infections are usually a mixed infection caused by anaerobic and aerobic bacteria. In this study, we present the case of a patient with rheumatoid arthritis under steroid treatment complicated by facial NSTIs with broad and profound necrosis of the buccal skin and subcutaneous tissues following tooth extraction.

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