[Fulminant fasciitis in the head and neck region]

Deep interstitial infections of the head and neck are potentially life-threatening conditions because of the double threat of upper airway obstruction and production of bacterial toxins, which may result in spread of infection, sepsis and multiorgan failure. At an early stage the symptoms are rather diffuse. It is of critical importance however, to make an early diagnosis if a fatal outcome is to be prevented. We describe a patient with infection caused by group F streptococci, (Streptococcus anginosus or milleri), and discuss the diagnosis and treatment.