Survival from Cervical Necrotizing Fasciitis with The Negative-Pressure Wound with Instill Therapy: A Case Report

Abstract

A 53 -year-old male patient was referred to the emergency room with multi-space infections lesions involving from the left mandible to the supraclavicular level. The left-sided neck progressed into significant swelling, with worsened dyspnoea and dysphagia for 5 days. Based on laboratory tests and enhanced computed tomography on neck and chest examinations, a diagnosis of cervical necrotizing fasciitis was enhanced our vigilance. Due to worsened general condition, he was transferred to the operating theatre for incision drainage under general anaesthesia. Abundant of necrotic tissue and purulent material were debrided via left lateral cervicotomy. The diagnosis of cervical necrotizing fasciitis and septic shock were made, and the patient was admitted to the Intensive Care Unit. Despite of the administration of high-level antibiotics and close dressing changes, the condition was deteriorated gradually. While a negative pressure wound therapy with install device was applied, the vital sign began to stabilize and discharged eventually. This case report presents an effective wound management via negative pressure wound therapy with install, removing exudates and neutralization of the toxins instantaneous allowed acquire a quick recovery.