E-ISSN 1658-7820
 

Case Report
Online Published: 19 Jan 2025
 


A rare case of cervicofacial necrotizing fasciitis: odontogenic origin with Prevotella baroniae as the causative pathogen

Marj M. Alabdullah, Mohammed D. Al Shubbar, Lojain Maawadh, Abdullah H. Alhussain, Razan Alshehri, Nersyan T. Sharbini, Dunya Alfaraj.


Abstract
Background: Necrotizing fasciitis (NF) is a rare and rapidly progressive soft tissue infection with high mortality, particularly without timely intervention. Cervical NF is uncommon due to the rich vascular supply of the neck, with odontogenic sources such as dental infections being the primary etiology.
Case Presentation: A 41-year-old Saudi male with a history of delayed treatment for chronic tooth pain presented with facial swelling, dysphagia, and systemic symptoms. Examination revealed left cervical swelling with overlying erythema, fluctuance, and signs of necrosis. Imaging showed a submandibular abscess with NF extending to the contralateral neck and inferiorly to C7-T1. Cultures isolated Prevotella baroniae, a rare pathogen. The patient underwent emergency surgical debridement and extraction of offending teeth, followed by targeted antibiotic therapy. Acute kidney injury and hyponatremia were managed with supportive care. The patient was discharged after 13 days with complete wound healing and no recurrence.
Discussion: Cervical NF poses diagnostic and therapeutic challenges due to its rarity and aggressive course. Odontogenic sources of cervical NF usually show growth of oral microbiome including Prevotella as shown in this case. Early diagnosis, guided by clinical suspicion and imaging, is vital for initiating surgical intervention.
Conclusion: Timely recognition and multidisciplinary management are critical in cervical NF. Preventive strategies focusing on dental hygiene and public awareness can reduce the burden of odontogenic infections.

Key words: Necrotizing Fasciitis; Cervicofacial Infection; Odontogenic Infection; Case report


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Marj M. Alabdullah
Articles by Mohammed D. Al Shubbar
Articles by Lojain Maawadh
Articles by Abdullah H. Alhussain
Articles by Razan Alshehri
Articles by Nersyan T. Sharbini
Articles by Dunya Alfaraj
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Alabdullah MM, Shubbar MDA, Maawadh L, Alhussain AH, Alshehri R, Sharbini NT, Alfaraj D. A rare case of cervicofacial necrotizing fasciitis: odontogenic origin with Prevotella baroniae as the causative pathogen. IJMDC. 2024; 8(12): 3863-3867. doi:10.24911/IJMDC.51-1734465157


Web Style

Alabdullah MM, Shubbar MDA, Maawadh L, Alhussain AH, Alshehri R, Sharbini NT, Alfaraj D. A rare case of cervicofacial necrotizing fasciitis: odontogenic origin with Prevotella baroniae as the causative pathogen. https://www.ijmdc.com/?mno=233454 [Access: May 14, 2025]. doi:10.24911/IJMDC.51-1734465157


AMA (American Medical Association) Style

Alabdullah MM, Shubbar MDA, Maawadh L, Alhussain AH, Alshehri R, Sharbini NT, Alfaraj D. A rare case of cervicofacial necrotizing fasciitis: odontogenic origin with Prevotella baroniae as the causative pathogen. IJMDC. 2024; 8(12): 3863-3867. doi:10.24911/IJMDC.51-1734465157



Vancouver/ICMJE Style

Alabdullah MM, Shubbar MDA, Maawadh L, Alhussain AH, Alshehri R, Sharbini NT, Alfaraj D. A rare case of cervicofacial necrotizing fasciitis: odontogenic origin with Prevotella baroniae as the causative pathogen. IJMDC. (2024), [cited May 14, 2025]; 8(12): 3863-3867. doi:10.24911/IJMDC.51-1734465157



Harvard Style

Alabdullah, M. M., Shubbar, . M. D. A., Maawadh, . L., Alhussain, . A. H., Alshehri, . R., Sharbini, . N. T. & Alfaraj, . D. (2024) A rare case of cervicofacial necrotizing fasciitis: odontogenic origin with Prevotella baroniae as the causative pathogen. IJMDC, 8 (12), 3863-3867. doi:10.24911/IJMDC.51-1734465157



Turabian Style

Alabdullah, Marj M., Mohammed D. Al Shubbar, Lojain Maawadh, Abdullah H. Alhussain, Razan Alshehri, Nersyan T. Sharbini, and Dunya Alfaraj. 2024. A rare case of cervicofacial necrotizing fasciitis: odontogenic origin with Prevotella baroniae as the causative pathogen. International Journal of Medicine in Developing Countries, 8 (12), 3863-3867. doi:10.24911/IJMDC.51-1734465157



Chicago Style

Alabdullah, Marj M., Mohammed D. Al Shubbar, Lojain Maawadh, Abdullah H. Alhussain, Razan Alshehri, Nersyan T. Sharbini, and Dunya Alfaraj. "A rare case of cervicofacial necrotizing fasciitis: odontogenic origin with Prevotella baroniae as the causative pathogen." International Journal of Medicine in Developing Countries 8 (2024), 3863-3867. doi:10.24911/IJMDC.51-1734465157



MLA (The Modern Language Association) Style

Alabdullah, Marj M., Mohammed D. Al Shubbar, Lojain Maawadh, Abdullah H. Alhussain, Razan Alshehri, Nersyan T. Sharbini, and Dunya Alfaraj. "A rare case of cervicofacial necrotizing fasciitis: odontogenic origin with Prevotella baroniae as the causative pathogen." International Journal of Medicine in Developing Countries 8.12 (2024), 3863-3867. Print. doi:10.24911/IJMDC.51-1734465157



APA (American Psychological Association) Style

Alabdullah, M. M., Shubbar, . M. D. A., Maawadh, . L., Alhussain, . A. H., Alshehri, . R., Sharbini, . N. T. & Alfaraj, . D. (2024) A rare case of cervicofacial necrotizing fasciitis: odontogenic origin with Prevotella baroniae as the causative pathogen. International Journal of Medicine in Developing Countries, 8 (12), 3863-3867. doi:10.24911/IJMDC.51-1734465157





Most Viewed Articles
Most Accessed Articles

  • Marginal adaptation of fixed prosthodontics
    Shahad Mohammed Halawani, Sahar Amer Al-Harbi
    IJMDC. 2017; 1(2): 78-84
    » Abstract » doi: 10.24911/IJMDC.1.2.7

  • Parasites in central nervous system
    Amal Ahmed Mohamed, Asmaa Mohamed Mansour
    IJMDC. 2017; 1(2): 72-77
    » Abstract » doi: 10.24911/IJMDC.1.2.6

  • Non-diabetic retinopathy: a case report
    Hassan F. Alkwikbi, Nabil Mamon Abdelfattah, Haithem Mamon Abdelfattah
    IJMDC. 2017; 1(1): 33-37
    » Abstract » doi: 10.24911/IJMDC.1.1.6

  • Vitamin D deficiency among high school female students in Riyadh
    Sahar Mohsen Aldhafeeri, Fatemah Ibraheem Alrawaji, Abrar Mubarak Algharbi, Alanoud Abdullah Alhessan, Ayat Sami Qabaja, Ghaleah Abdulaziz Alnassar, Ghaliah Ofayn Alsulami, Mashael Belal Alrubaian, Norah Abdulaziz Alhatim, Salehah Salih Alotaibi, Zahra Ali Alkhamees
    IJMDC. 2017; 1(1): 18-23
    » Abstract » doi: 10.24911/IJMDC.1.1.4

  • Prognosis of chronic complications of diabetes mellitus (DM) after multiple events of diabetic ketoacidosis (DKA)
    Baraa Faiez Rajab, Anwar Essa Alamrim, Ali Essa Alamri
    IJMDC. 2019; 3(5): 474-479
    » Abstract » doi: 10.24911/IJMDC.51-1546551993

  • Most Downloaded
    Top Downloaded Articles

  • Anti-IL-17 markedly inhibited the in vitro granuloma induced by Schistosoma mansoni soluble egg antigen.
    Asmaa Ezz, Irene S. Gmail, Fatma Elzahraa H. Salem, Rabab Salama, Soad Nady
    IJMDC. 2018; 2(January 2018): 38-46
    » Abstract » doi: 10.24911/IJMDC.2.1.7

  • Vitamin D deficiency among high school female students in Riyadh
    Sahar Mohsen Aldhafeeri, Fatemah Ibraheem Alrawaji, Abrar Mubarak Algharbi, Alanoud Abdullah Alhessan, Ayat Sami Qabaja, Ghaleah Abdulaziz Alnassar, Ghaliah Ofayn Alsulami, Mashael Belal Alrubaian, Norah Abdulaziz Alhatim, Salehah Salih Alotaibi, Zahra Ali Alkhamees
    IJMDC. 2017; 1(1): 18-23
    » Abstract » doi: 10.24911/IJMDC.1.1.4

  • Antibiotic Resistance Crisis
    Nuha Saad Mobarki, Buthaina Abdullah Almerabi, Ahmad Hattan Hattan
    IJMDC. 2019; 3(6): 561-564
    » Abstract » doi: 10.24911/IJMDC.51-1549060699

  • The knowledge of mothers about children malnutrition and associated factors
    Anas Abdulrahman Aljohani, Mujahid Abdulrahman Aljohani
    IJMDC. 2020; 4(1): 7-11
    » Abstract » doi: 10.24911/IJMDC.51-1541620358

  • Knowledge and attitude of caregivers of cerebral palsy children in Riyadh city
    Abdulaziz Alruwaished, Baleegh Ali, Lubna Abdullah Alhowaimil , Abaraa adullah Alhowaimil, Najd Abdullah Alhowaimil, Aminah Alessa
    IJMDC. 2020; 4(1): 12-17
    » Abstract » doi: 10.24911/IJMDC.51-1547833051

  • Most Cited Articles
    Most Cited Articles

  • Antibiotic Resistance Crisis
    Nuha Saad Mobarki, Buthaina Abdullah Almerabi, Ahmad Hattan Hattan
    IJMDC. 2019; 3(6): 561-564
    » Abstract » doi: 10.24911/IJMDC.51-1549060699
    Cited : 34 times [Click to see citing articles]

  • Prevalence of depression, anxiety and stress among diabetes mellitus patients in Arar, Northern Saudi Arabia
    AMohammed Elamin Mukrim, Nujud Muteb D. Alshammari, Wurud Muteb D. Alshammari, Maali Subhi T. Alshammari, Yousef Nasif R. Alshammari, Abdulaziz Sael M. Alshammari, Maisa Hamad F. Alanazi, Abdulelah Abdulrhman F. Alzammam, Muharib Mana M. Alshammari, Slwa Khaled Abu Asyah, Aseel Jamal Alzuhayri, Mushref Saeid Alshammari
    IJMDC. 2019; 3(3): 229-233
    » Abstract » doi: 10.24911/IJMDC.51-1542576396
    Cited : 8 times [Click to see citing articles]

  • Knowledge, attitude, and practice of breast self-examination toward breast cancer among female students at King Saud University in Riyadh, Saudi Arabia
    Abdullah Nasser Alomair, Dania Ghazi Felemban, Mohannad Sami Felemban, Jameel Abdullah Awadain, Ammar Saud Altowairqi, Nawaf Fawzan Alfawzan, Fatimah Mohammed Almazayen, Abdulrahman Jalwi Korkoman, Nawaf Saad Alrusayyis
    IJMDC. 2020; 4(2): 429-434
    » Abstract » doi: 10.24911/IJMDC.51-1576668182
    Cited : 8 times [Click to see citing articles]

  • Population awareness about rheumatoid arthritis in Jazan region, Saudi Arabia
    Ahmad Ali Hazzazi, Mohssen Hassen Ageeli, Ahmed Ali Muyidi, Abdulaziz Mohammad Abulgasim, Abdullah Ahmad Yateemi, Nabil Alhakami
    IJMDC. 2020; 4(3): 668-675
    » Abstract » doi: 10.24911/IJMDC.51-1576010943
    Cited : 4 times [Click to see citing articles]

  • Prevalence and factors associated with depression among health care workers in National Guard Hospital in Riyadh, KSA
    Noor Mohammad AlFahhad
    IJMDC. 2018; 2(September 2018): 92-96
    » Abstract » doi: 10.24911/IJMDC.51-1526306040
    Cited : 4 times [Click to see citing articles]