SYNERGISTIC NECROTIZING CELLULITIS RESULTING FROM PERI-TONSILLAR ABSCESS

This case demonstrates the rare but potentially fatal condition of syn ergistic necrotizing cellulitis of the head and neck. Although similar to necrotizing fasciitis, this is more extreme as it also destroys mu scle. Peri-tonsillar abscess is a recognized cause, but has not previo usly been described in this country, however it is a condition commonl y referred to otolaryngologists and awareness of the complication of s ynergistic necrotizing cellulitis is necessary to allow early recognit ion and prompt treatment. This should be by broad-spectrum intravenous antibiotics with extensive surgical debridement and drainage procedur es repeated as necessary. Although this case had a successful outcome, many patients do not survive, particularly if treatment is delayed or inadequate.