Italy midfielder Daniele De Rossi insists the elbowing offence that earned him a red card during Saturday's 1-1 draw with the USA was not intentional.

The Roma star was dismissed before the half-hour mark for a clash that left USA striker Brian McBride's face covered in blood.

He now faces a suspension that could end his World Cup, even if the Azzurri manage to progress from Group E.

"I ask for forgiveness. I didn't want to hurt the player (McBride) and I spoke to him immediately after," said De Rossi.

"I certainly didn't do it on purpose, that is the way I always jump to head the ball.

"I hope the ban will not be too harsh but I don't know."

USA had Pablo Mastroeni and Eddie Pope dismissed later in action-packed encounter, meaning the draw was a major disappointment to Italian fans.

The Azzurri must now avoid defeat against Czech Republic in their final Group E game in order to be certain of reaching the last 16.