PMC9175980_01
Child with necrotizing fasciitis on right side of neck.
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F1
After surgical consultation it was observed that there was development of necrosis over the ecchymotic patch which further led to necrotizing fasciitis on the third day of admission (Fig. 1).
Chest X-ray showing pneumonia.
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F2
On eighth day of admission, the child developed pneumonia (Fig. 2) with decrease in SpO2 and increased respiratory distress for which he was intubated.
Growth on Sabouraud dextrose agar.
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F3
After 24 h of incubation, macroscopically a white floccose growth (effuse) was obtained in both the tubes which turned grey on further incubation within 2-3 days (Fig. 3).
(a and b): LPCB mount showing Lichtheimia ramosa.
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F4
The sporangia were pyriform shaped, hyaline and had prominent conical columella (Fig. 4).
(a and b): Post debridement formation of healthy granulation tissue.
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F5
The sloughing of necrotic tissue is decreased significantly followed by formation of healthy granulation tissue (Fig. 5).