Cervical necrotizing fasciitis: two case reports and review of the literature.

Abstract

Necrotizing fasciitis is a rapidly progressive mixed-organism infection that, in the neck, involves the superficial and deep cervical fascia. Underestimation of this complication of a "minor head and neck infection" can delay diagnosis and treatment of this often fatal disease process. Thirty-five cases of necrotizing fasciitis involving the neck have been reported previously. Two new cases of cervical necrotizing fasciitis and a review of previously reported cases are presented. Management is discussed. Early diagnosis is critical. Antibiotic therapy and prompt, aggressive surgical intervention are appropriate.