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Necrotizing Fasciitis -the Flesh Eating Bacterial Disease- of the Neck


1 Radiologist, Medical Lecturer, Department of Radiology, Hospital Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
2 Associate Professor, Department of Radiology, Hospital Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
3 Medical officer, Department of Radiology, Hospital Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
*Corresponding Author: Masoud Shariat , Department of Radiology, Hospital Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia, Tel.: +60-122175060, Fax: +60-379802314, E-mail: [email protected].
Shiraz E-Medical Journal. 9(2): 105-112.
Article Type: Case Report; Received: Jan 12, 2008; Accepted: Feb 15, 2008; epub: Apr 1, 2008;

Abstract


Necrotizing fasciitis is uncommon and can be difficult to diagnose. It causes progressive morbidity until the infectious process is diagnosed and properly treated. A delay in diagnosis is associated with a grave progno- sis and increased mortality. The main goal of the clinician must be to establish the diagnosis and initially treat the patient within the standard of care. We would like to present a case of 70-year-old gentleman with poorly controlled diabetes, who was diagnosed with type 1 primary necrotizing fasciitis of the neck and pre- sent the imaging findings which led to the diagnosis.

Keywords: Necrotizing fasciitis, necrotizing cellulitis, Flesh eating disease, fasciitis necrotans, synergistic ne- crotizing cellulitis.