Archives of Head and Neck Surgery
https://archivesheadnecksurgery.com/article/doi/10.4322/ahns.2020.0023
Archives of Head and Neck Surgery
Case Report Infectious Desease

Carotid blow-out: A potentially fatal complication of cervical necrotizing fasciitis

Agnaldo José Graciano, Jéssica Horvat Pedro, Filipe Abel Ortolan, Djulia Adriani Frainer, Heloiza Fiamoncini

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Abstract

Necrotizing fasciitis is a potentially fatal soft tissue infection characterized by extensive necrosis of the subcutaneous tissue and fascia. Head and neck involvement is rare, being usually associated with dental or pharyngeal infections. This report presents a case of an alcoholic patient with dental infection progressing to necrotizing fasciitis in the cervical region and carotid necrosis with subsequent vessel rupture and death. The rupture of the carotid artery and cervical involvement by necrotizing fasciitis are uncommon and generally have unfavorable outcomes despite the advances in diagnosis and intensive care that reduced the morbidity and mortality rates of these diseases.

Keywords

carotid artery injuries; case reports; fasciitis, necrotizing

References

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Submitted date:
11/21/2020

Accepted date:
04/19/2021

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