Necrotizing buccal and cervical fasciitis

Necrotizing Fasciitis Resulting from Human Bites: A Report of Two Cases of Disease Caused by Group A Streptococci

“…In both previous reports (11)(12)(13)(14)(15) and the cases outlined in the present article, the source of the GAS is unclear; however, it is speculated that the organism originated from the throat/oropharynx of the person initiating the bite (assailant). In addition to GAS arising from the oropharynx of the assailant, there remains the possibility that GAS may have been on the skin of the person sustaining the bite injury (victim), with inoculation of the deep tissues occurring at the time of the bite.…”

“…In addition to GAS arising from the oropharynx of the assailant, there remains the possibility that GAS may have been on the skin of the person sustaining the bite injury (victim), with inoculation of the deep tissues occurring at the time of the bite. Unfortunately, the collection of GAS from the throat swabs of the assailant and victim was not attempted in previous reports (11)(12)(13)(14)(15) or in the present cases; these specimens would have provided definitive support for oral pharyngeal carriage of GAS serving as the source for the microorganism responsible for the victim's NF.…”

“…Therefore, it is important to consider NF as a potential complication of a bite injury, a complication which may have catastrophic consequences (15). Bite wound infections are typically thought of as mixed with aerobes, particularly alpha-hemolytic streptococci, Staphylococcus aureus and anaerobes, which is what was observed in the patient who bit his own cheek (13,17,(19)(20)(21). In a recent report (17), 14% of 50 patients presenting with infected human bites had GAS recovered from their wounds.…”

“…Although human bite injuries are common, there have been few reported cases of NF or STSS related to bites (11)(12)(13)(14)(15). In the present paper, we describe two cases of patients that developed NF from human bites as a result of GAS.…”

Necrotizing Fasciitis of Face in Odontogenic Infection: A Rare Clinical Entity

“…Early surgical intervention would minimize loss of the covering skin and avoid cosmetic disfiguring. [4][5][6]8 The healthy skin should not be excised initially, even in extensive debridement of the underlying fascia. Skin necrosis occurring late can be dealt with later, adopt a wait and watch policy when dealing with such extensive skin involvement of face region.…”