Necrotizing fasciitis is a severe life-threatening infection. The port
al of entry is usually a site of disruption of the skin barrier. We re
port a ease of fatal necrotizing fasciitis caused by an accidental too
thpick injury-a unique injury mechanism not reported this far to cause
necrotizing fasciitis. Although toothpick injuries are usually regard
ed as trivial, it should be kept in mind that they have the potential
to cause such a lethal infection.