ABSTRACT
Necrotizing soft tissue infection (NSTI) is a rare but severe and rapidly spreading infection leading to potential mortal- ity and devastating morbidity in the paediatric population. Streptococci, staphylococci, and polymicrobial infections are classically implicated in patients with NSTI. Optimal management involves immediate appropriate antimicrobial therapy and debridement surgery. Any delay leads to an increased riek of mortality especially as the clinical presen- tation is unclear with no real pathognomonic clinical signs.