Necrotizing Fascitis in a Nomad with Undiagnosed pulmonary tuberculosis: A case report

Abstract

Cervical necrotizing fasciitis (CNF) is a severe acute poly bacteria infection of the fascia plane of the head and neck region. It is usually associated with rapid and extensive fascia necrosis, necrosis of the overlying skin and the vasculature and severe systemic toxicity. We present the case of a 60-year old female nomad with undiagnosed pulmonary tuberculosis with CNF arising from a possible insect bite. Intravenous antibiotics, anti Koch's and high protein, high calorie diet, in addition to aggressive and repeated surgical debridement were used to manage this patient with good result. The challenge of managing this patient is discussed in line with the existing literature.



Key words: Necrotizing Fasciitis, Nomad, and Bovine Tuberculosis.

Nigerian Journal of Otorhinolaryngology Vol.2(1) 2005: 37-40