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All Journal e-CliniC Jurnal Ilmiah Universitas Batanghari Jambi Jurnal Impresi Indonesia
Tamburian, Christa
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Odontogenic Necrotizing Fasciitis in the Neck and Thoracic Region: A Case Report Tangkilisan, Adrian; Sukanto, Wega; Tamburian, Christa; Satriadi, Wayan
e-CliniC Vol. 13 No. 1 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i1.54850

Abstract

Abstract: Mediastinitis and necrotizing fasciitis are the most threatening complications of odontogenic infection that are not appropriately treated. We reported a 32-year-old woman with odontogenic necrotizing fasciitis in the neck and thoracic region due to second and third lower molar infection that started and progressed in ten weeks. This disease course was initiated by a small abscess in the submandibular region that spread to the neck and right chest. This condition did not progress into mediastinitis which had a poorer prognosis. Early rupture of the abscess may prevent the extent of the infection into the mediastinum. The patient’s condition improved after consuming antibiotic, analgesic, and debridement performed on her. The case management was consistent with the literature. The patient only came for first follow-up and then loss-to-follow-up. Therefore, skin flap surgery cannot be conducted. Keywords: necrotizing fasciitis; odontogenic source; neck; thoracic region
Necrotizing Soft Tissue Infection (NSTI) of Head and Neck: A Case Report Moksidy, Reynaldy C.; Oley, Mendy Hatibie; Tamburian, Christa; Suoth, Stevy
Jurnal Ilmiah Universitas Batanghari Jambi Vol 25, No 3 (2025): Oktober
Publisher : Universitas Batanghari Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33087/jiubj.v25i3.5934

Abstract

Necrotic soft tissue infection (NSTI) is a rapidly progressing skin infection characterized by necrosis of the fascia and subcutaneous tissue, while Ludwig's angina is a severe connective tissue infection of the floor of the mouth, often a complication of a dental infection, which can cause upper airway obstruction if left untreated. This study presents the case of a 32-year-old female patient with no previous hospitalization who presented to the Emergency Room with a wound and pain radiating from the neck to the chest, lasting for one week. The patient underwent a standard diagnostic and therapeutic protocol, including aggressive debridement under general anesthesia, with skin preservation and reconstruction via partial-thickness skin graft (STSG) for the wound defect. Ludwig's angina is primarily caused by infection of the mandibular molars, particularly the second and third molars, which account for more than 90% of cases. Although relatively rare, NSTI is characterized by rapid necrosis of the fascia and subcutaneous fat, leading to skin necrosis. Vigilance for the development of complications from cellulitis to NSTI, especially in cases thought to be caused by Ludwig's angina, is essential. Factors such as potential window periods for HIV and malnutrition need to be considered, emphasizing the importance of collaboration between reconstructive surgery specialists, epidemiologists, and thoracic and vascular disciplines to improve treatment strategies and preventive measures.
EFFUSIVE CONSTRICTIVE PERICARDITIS: HOW TO DIFFERENTIATE WITH CARDIAC TAMPONADE Sukanto, Wega; Tangkilisan, Adrian; Tamburian, Christa; Stefanus, Gufi George
Jurnal Impresi Indonesia Vol. 2 No. 10 (2023): Jurnal Impresi Indonesia
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v2i10.3766

Abstract

Constrictive-effusive pericarditis (ECP) is a rare syndrome but is gaining increasing attention in the classification of pericardial diseases. The aim of this research is to identify the differences in clinical symptoms between constrictive pericardial effusion and cardiac tamponade, such as chest pain, shortness of breath, blood pressure, heart rate, and other symptoms. We report the case of a 67-year-old man who had exertional dyspnea, lack of energy, fatigue, and pleuritic chest pain for the past 6 months. X-rays showed pericardial effusion and pericardial thickening with calcification indicating constrictive pericarditis. Echocardiographic examination also revealed similar findings. The patient then underwent pericardiectomy, during which the pericardial effusion was evacuated. However, after this procedure, cardiac contractions were still limited, underlying the constrictive process. This case illustrates the complexity in differentiating constrictive pericarditis from cardiac tamponade and the importance of accurate diagnosis in the management of this pericardial disease. In this case report, we discuss the clinical findings, diagnostic measures, and management implications in a patient with overt constrictive pericarditis.
Co-Authors Adrian Tangkilisan, Adrian Gufi George Stefanus, Gufi George Mendy Hatibie Moksidy, Reynaldy C. Satriadi, Wayan Sukanto, Wega Suoth, Stevy