Surgical Management of Necrotizing Fasciitis Due to Odontogenic Infection with Sepsis : Case Report

Necrotizing fasciitis in the face region is a rare case.This infection often occurs in patients who are chronically debilitated or with history of diabetes mellitus.We report a 51-yearold woman with necrotizing fasciitis due to odontogenic infection extended to the face and submandibular space.In this case an odontogenic infection was accompanied by a large open wound on the face and sepsis.Patient was hospitalized in the Dr Hasan Sadikin General Hospital.Management of this patient in the emergency room were administration of appropriate broad-spectrum empiric antibiotic, incision and pus drainage, and extraction of the infected tooth, followed by fluid resuscitation with strict observation.Surgical debridement was then performed.After being treated for 12 days the patient's condition improved.We planned closure of defects of the facial area, but the patient refused.