Cervicofacial Necrotizing Fasciitis and Drugs

Necrotizing fasciitis (NF) is a devastating disease that typically affects immunocompromised patients, chronically debilitated patients or drug users, but can also affect healthy patients. Necrotizing fasciitis can rapidly produce septic shock and requires immediate surgical management of the necrotic tissue. It is a bacterial infection that progresses rapidly and has a high mortality generally caused by aerobic and anaerobic bacteria. The patient was immunocompromised and drug user. During treatment, a combination of broad-spectrum antibiotic therapy with Ciprofloxacin and Metronidazole, besides the use of activated charcoal dressing composed of carbonized fabric and impregnated with 0.15% silver nitrate enveloped by layer of fabric without activated carbon, chemical–mechanical debridement with hydrogen peroxide, 0.9% saline, and povidone iodine. According to the patient presented, for the treatment of NF there is a need for broad-spectrum antibiotic therapy associated with surgical debridement, use of activated charcoal for antiseptic compression and general intensive care. Address correspondence and reprint requests to Laís Sara Egas, MD, R. José Bonifácio, n 1193. Vila Mendonça, Araçatuba, São Paulo, CEP 16015-050, A/C Renato Gomes (UNESP–FOA), Brazil; E-mail: laissaraegas@gmail.com Received 26 March, 2018 Accepted 21 April, 2018 The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.

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