Özet:

Necrotic phasicitis (NF) is a rare and severe infection that holds the deep dermis layer, subcutaneous tissues and facial plans. NF mainly shows formation in the limbs, perineal area and on the abdominal wall. The infection that occurs in the neck area and spreads very quickly is called cervical NF (SNF). SNF causes the thrombosis of the head vessels, the destruction of the surface nerves and skin necrosis. The most common cause of SNF is the periapic infection of the lower large small teeth. The underlying systemic disease is diabetes mellitus (DM) in a large majority of patients with SNF observed. Physical examination findings, laboratory tests, early diagnosis based on radiographic evaluation and appropriate surgical intervention are important in reducing morbidity and mortality. The initial treatment of the SNF should include emergency hospitalization, the assessment of hemodynamics and respiration, high doses of wide spectrum intravenous antibiotic treatment, the surgical debridation of necrotic tissues and nutritional support. In this fact report, the SNF phenomenon was due to the periapical infection of the lower blood tooth in the patient with uncontrolled DM, and the clinical characteristics of this lethal state were emphasized.

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