ArticleIDCases2026
Life-threatening cervical necrotizing fasciitis caused by congenital pyriform sinus fistula: A case report.
Article in IDCases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We report the case of a 2-year-old boy who presented with cough for one week and fever for 4 days. On admission, physical examination revealed restricted neck movement and a firm, tender mass on the left side of the neck with a well-defined border and limited mobility. Within 24 h, the mass enlarged rapidly, and blue-red discoloration of the overlying skin appeared and progressed quickly. The Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score was 9. The child underwent urgent surgical debridement. Intraoperative findings confirmed the presence of a congenital pyriform sinus fistula (CPSF) complicated by cervical necrotizing fasciitis (CNF). Wound cultures yielded oropharyngeal flora dominated by anaerobic bacteria. CNF is rare but life-threatening condition, most commonly arising from odontogenic infections. CNF secondary to CPSF is extremely uncommon and has rarely been described in the literature. This case highlights CPSF as a potential underlying cause in children with unexplained cervical necrotizing soft-tissue infection. Although necrotic complications of CPSF are exceedingly rare, clinicians must remain vigilant for this severe and potentially fatal presentation.
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