Figure 1

Gross examination showed marked facial and submandibular swelling (A). Histopathology of cervical (B) and mesenteric (C, D) lymph nodes showing acute, severe, necrotizing lymphdenitis and cellulitis with intralesional bacteria at 4× (B), 10× (C) and 20× (D) magnification. Acute severe necrosis (C) of mesenteric lymph node.