{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T23:34:23Z","timestamp":1784158463385,"version":"3.55.0"},"reference-count":15,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,2,9]]},"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>Cervical necrotising fasciitis (NF) is an aggressive polymicrobial infection of the subcutaneous tissues in the head and neck. We present a case of a healthy 19-year-old man who developed cervical and upper mediastinal NF after an initial presentation of infectious mononucleosis (IM). He was treated with broad-spectrum antibiotics in addition to incision and drainage of an anterior neck and upper mediastinal abscess. He progressed favourably after ten days of hospitalisation and was discharged home on intravenous antibiotics. This is a unique case of cervical NF as a sequelae of IM in a previously healthy paediatric patient.<\/jats:p>","DOI":"10.1136\/bcr-2018-228172","type":"journal-article","created":{"date-parts":[[2019,3,2]],"date-time":"2019-03-02T05:34:18Z","timestamp":1551504858000},"page":"e228172","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Cervical necrotising fasciitis: a rare complication of infectious mononucleosis"],"prefix":"10.1136","volume":"12","author":[{"given":"Corina","family":"Din-Lovinescu","sequence":"first","affiliation":[{"name":"Otolaryngology Head and Neck Surgery, Saint Barnabas Medical Center, Livingston, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard","family":"Berg","sequence":"additional","affiliation":[{"name":"Otolaryngology Head and Neck Surgery, Saint Barnabas Medical Center, Livingston, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,3,1]]},"reference":[{"key":"2025082707245633000_12.3.e228172.1","doi-asserted-by":"crossref","first-page":"135","DOI":"10.4103\/0975-5950.79215","article-title":"Cervical necrotizing fasciitis caused by dental infection: A review and case report","volume":"1","author":"Maria","year":"2010","journal-title":"Natl J Maxillofac Surg"},{"key":"2025082707245633000_12.3.e228172.2","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1002\/jhm.226","article-title":"Suppurative complications and upper airway obstruction in infectious mononucleosis","volume":"2","author":"Nagler","year":"2007","journal-title":"J Hosp Med"},{"key":"2025082707245633000_12.3.e228172.3","doi-asserted-by":"publisher","DOI":"10.1177\/019459988709700112"},{"key":"2025082707245633000_12.3.e228172.4","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1017\/cem.2015.30","article-title":"Acute mediastinitis as a complication of epstein-barr virus","volume":"18","author":"Lloyd","year":"2016","journal-title":"CJEM"},{"key":"2025082707245633000_12.3.e228172.5","doi-asserted-by":"crossref","first-page":"47","DOI":"10.5348\/crint-2015-17-CR-12","article-title":"A rare case of fulminant primary Epstein-Barr virus infection in a young adult","volume":"4","author":"Tan","year":"2015","journal-title":"Case Rep Int"},{"key":"2025082707245633000_12.3.e228172.6","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1017\/S0022215100147875","article-title":"Otolaryngological complications in infectious mononucleosis","volume":"98","author":"Johnsen","year":"1984","journal-title":"J Laryngol Otol"},{"key":"2025082707245633000_12.3.e228172.7","doi-asserted-by":"crossref","first-page":"1130","DOI":"10.1080\/00016480510027475","article-title":"Epiglottitis and necrotizing fasciitis: a life-threatening complication of infectious mononucleosis","volume":"125","author":"Caballero","year":"2005","journal-title":"Acta Otolaryngol"},{"key":"2025082707245633000_12.3.e228172.8","doi-asserted-by":"crossref","unstructured":"Menezes J , Sundar SK . et al Epstein-barr virus and immunosuppression. 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