{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:30:44Z","timestamp":1761895844003},"reference-count":14,"publisher":"FapUNIFESP (SciELO)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Braz. Dent. J."],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:p>Cervical necrotizing fasciitis (CNF) is an uncommon, potentially fatal soft tissue infection with rapid progression characterized by necrosis in the subcutaneous tissue and fascia. A case of CNF of odontogenic origin in a diabetic patient, complicated by alcohol dependence and tobacco abuse, is presented with a literature review. The emergency procedure comprised hydration, colloid administration, glycemic control and broad spectrum antibiotic therapy, followed by aggressive surgical debridement. Necrosis in the platysma muscle was verified by histopathologic analysis. Reconstructive surgery was performed after suppressing the infection, and the wound was closed with an autologous skin graft. The patient had a long hospital stay, in part because the substance abuse led to a difficult recovery. The principles of early diagnosis, aggressive surgical debridement, broad-spectrum antibiotic therapy and intensive supportive care in the treatment of CNF were confirmed in the present case. It was concluded that given the occurrence of CNF in the presence of diabetes mellitus and abuse of substances such as alcohol and tobacco, the health care professional should consider a stronger response to treatment and longer hospitalization.<\/jats:p>","DOI":"10.1590\/0103-6440201302336","type":"journal-article","created":{"date-parts":[[2014,4,28]],"date-time":"2014-04-28T13:08:04Z","timestamp":1398690484000},"page":"69-72","source":"Crossref","is-referenced-by-count":10,"title":["Cervical Necrotizing Fasciitis of Odontogenic Origin in a Diabetic Patient Complicated by Substance Abuse"],"prefix":"10.1590","volume":"25","author":[{"given":"Rubens","family":"Camino Junior","sequence":"first","affiliation":[{"name":"University of S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria G.","family":"Naclerio-Homem","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lecy Marcondes","family":"Cabral","sequence":"additional","affiliation":[{"name":"Integrated Clinic of Plastic Surgery, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o Gualberto C.","family":"Luz","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1067\/moe.2003.85","article-title":"Necrotizing fasciitis caused by dental infection: a retrospective analysis of 9 cases and a review of the literature","volume":"95","author":"Umeda M","year":"2003","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1016\/j.joms.2005.02.025","article-title":"Necrotizing fasciitis of the cervical region in an AIDS patient: report of a case","volume":"63","author":"Chidzonga MM","year":"2005","journal-title":"J Oral Maxillofac Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1016\/j.joms.2008.07.017","article-title":"Report of a case of cervicothoracic necrotizing fasciitis along with a current review of reported cases","volume":"67","author":"Quereshy FA","year":"2009","journal-title":"J Oral Maxillofac Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/S0278-2391(00)90327-6","article-title":"Cervical necrotizing fasciitis of odontogenic origin: a case report and review of 12 cases","volume":"58","author":"Whitesides L","year":"2000","journal-title":"J Oral Maxillofac Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/S0901-5027(96)80049-X","article-title":"Reconstruction of mandible and surrounding soft tissues in patient with necrotizing fasciitis","volume":"25","author":"Salins PC","year":"1996","journal-title":"Int J Oral Maxillofac Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1067\/moe.2003.15","article-title":"Necrotizing soft tissue infections of the head and neck: case reports and literature review","volume":"95","author":"McMahon J","year":"2003","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1684","DOI":"10.1097\/00006534-200106000-00008","article-title":". 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