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Thrawn89 t1_islv3lj wrote

I think the question is based on a false premise. What makes you think strep throat can't cause necrotizing fasciitis? A more common complication from strep is scarlet fever which can also be deadly. Like most infections, they need to be watched and potentially treated if they proliferate.

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4_max_4 OP t1_islx46q wrote

Not sure I understand your point. Strep A can cause necrotizing fasciitis usually in other parts of the body when it enters the blood stream. However, cases of necrotizing fasciitis in the face and neck are very rare (albeit necrotizing fasciitis is extremely rare already). The only cases reported where due to dental infections and ludwig angina. So, my question is if the bacteria is on our throats (there are silent carriers) and we have lacerations in our mouth where the bacteria could enter the blood stream, why isn’t it more common? The only explanation I found is the saliva and the blood flow in the mouth to quickly cauterize any laceration in the mouth.

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