case_images: PMC9175980_01
case_images: Child with necrotizing fasciitis on right side of neck.
case_images: acmi-4-0327-g001.jpg
case_images: PMC9175980_01_acmi-4-0327-g001.jpg
case_images: F1
case_images: 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).
case_images: Chest X-ray showing pneumonia.
case_images: acmi-4-0327-g002.jpg
case_images: PMC9175980_01_acmi-4-0327-g002.jpg
case_images: F2
case_images: On eighth day of admission, the child developed pneumonia (Fig. 2) with decrease in SpO2 and increased respiratory distress for which he was intubated.
case_images: Growth on Sabouraud dextrose agar.
case_images: acmi-4-0327-g003.jpg
case_images: PMC9175980_01_acmi-4-0327-g003.jpg
case_images: F3
case_images: 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).
case_images: (a and b): LPCB mount showing Lichtheimia ramosa.
case_images: acmi-4-0327-g004.jpg
case_images: PMC9175980_01_acmi-4-0327-g004.jpg
case_images: F4
case_images: The sporangia were pyriform shaped, hyaline and had prominent conical columella (Fig. 4).
case_images: (a and b): Post debridement formation of healthy granulation tissue.
case_images: acmi-4-0327-g005.jpg
case_images: PMC9175980_01_acmi-4-0327-g005.jpg
case_images: F5
case_images: The sloughing of necrotic tissue is decreased significantly followed by formation of healthy granulation tissue (Fig. 5).