DISCUSSION: At onset, necrotizing fasciitis is difficult to differentiate from other superficial skin infections. Studies have shown that only 15 to 30% of patients with NF have an accurate admitting diagnosis. The organisms commonly cultured in necrotizing infections are combinations of staphylococci, streptococci, and clostridium species. The mainstay of treatment for NF involves prompt surgical debridement, source control, and antimicrobials. Typically, the extremities and abdominal wall are involved, but NF of the face is extremely rare, as less than 50 cases have been reported in the literature.