Cervicofacial necrotising fasciitis by clindamycin-resistant and methicillin-resistant

Document Type

Article

Publication Date

11-28-2018

Publication Title

BMJ Case Rep

Keywords

ear, nose and throat/otolaryngology; head and neck surgery; infectious diseases; oral and maxillofacial surgery

Abstract

An otherwise healthy 24-year-old man presented with 1 week of fever, facial pain and swelling. He initially sought care at an outside hospital, where he was diagnosed with folliculitis and sent home with oral antibiotics. On arrival at our institution, CT neck was ordered, which demonstrated diffuse submental phlegmon, prompting incision and drainage. After initial improvement, the patient experienced high fevers and increased swelling just 12 hours later. The decision was made to take the patient for operative exploration, and wide debridement was performed due to suspicion for necrotising fasciitis intraoperatively that was ultimately confirmed on final pathology. Final speciation of intraoperative culture demonstrated a clindamycin-resistant and methicillin-resistant strain of

Department

Otolaryngology

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