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On arrival at our institution, CT neck was ordered, which demonstrated diffuse submental phlegmon, prompting incision and drainage. After initial improvement, the patient experienced high fevers and increased swelling just 12 hours later. The decision was made to take the patient for operative exploration, and wide debridement was performed due to suspicion for necrotising fasciitis intraoperatively that was ultimately confirmed on final pathology. Final speciation of intraoperative culture demonstrated a clindamycin-resistant and methicillin-resistant strain of <jats:italic>Staphylococcus aureus<\/jats:italic>. The patient was managed with intravenous antibiotics, additional debridement and careful wound care. Delayed partial closure of wound was eventually performed once patient showed marked and persistent clinical improvement. The patient was discharged on hospital day 12 with close follow-up.<\/jats:p>","DOI":"10.1136\/bcr-2018-226975","type":"journal-article","created":{"date-parts":[[2018,12,18]],"date-time":"2018-12-18T17:19:47Z","timestamp":1545153587000},"page":"e226975","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Cervicofacial necrotising fasciitis by clindamycin-resistant and methicillin-resistant <i>Staphylococcus aureus<\/i> (MRSA) in a young healthy man"],"prefix":"10.1136","volume":"11","author":[{"given":"Cong","family":"Ran","sequence":"first","affiliation":[{"name":"Otolaryngology Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Hicks","sequence":"additional","affiliation":[{"name":"Otolaryngology Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, 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