Cervico-faciale fasciitis necroticans

Abstract

Cervico-facial necrotizing fasciitis In the fall of 2022, an increased incidence of invasive group A streptococcal infections (iGAS) was seen. This growth is due to the increased spread of group A Streptococcus and viral co-infections (varicella zoster and respiratory viruses) now that the hygienic and social distancing measures due to COVID-19 are no longer in place. Fasciitis necroticans (FN) is a form of iGAS that can present in the maxillofacial area as a bacterial superinfection due to viral pharyngitis. It presents as a rapidly progressive disease with a high morbidity that can lead to death if it is not quickly diagnosed and surgically treated. An urgent debridement of the necrotic tissue is essential. In addition, intravenous fluids and antibiotics are the cornerstones of the treatment. Continued vigilance is crucial for an early diagnosis of this life-threatening infection in order to avoid serious complications.