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Samir S. Khariwala, BS; David A. Litman, MD; Shelly J. McQuone, MD; Jay L. Hess, MD, PhD; Erica R. Thaler, MD
Philadelphia, Pa

Arch Otolaryngol Head Neck Surg. 2000;126:1391-1393.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 68-YEAR-OLD man with coronary artery disease presented with right-sided facial swelling and erythema. His symptoms began after a fractured right upper molar was capped. He was admitted with a presumptive diagnosis of facial cellulitis, which failed to improve with a regimen of oral antibiotics. When the antibiotic therapy was discontinued, the patient became febrile. He also developed diffuse erythema and induration of the oropharynx, with focal ulceration of the left palatine tonsil and uvula. Biopsy specimens and fluid smears obtained from the right nares were nondiagnostic.

The patient was ultimately transferred to another institution. Additional biopsy specimens, including an excisional biopsy specimen of the tonsil and palate and a core punch biopsy specimen of the skin of the right nasolabial groove, were obtained. Both specimens demonstrated necrosis but . . . [Full Text of this Article]