title: Necrotizing fasciitis in a newborn infant: a case report.
abstract: We report the case of a one-day-old newborn infant, female, birth weight 1900 g, gestational age 36 weeks presenting with necrotizing fasciitis caused by E. coli and Morganella morganii. The newborn was allowed to fall into the toilet bowl during a domestic delivery. The initial lesion was observed at 24 hours of life on the left leg at the site of the venipuncture for the administration of hypertonic glucose solution. Despite early treatment, a rapid progression occurred resulting in a fatal outcome. We call attention to the risk presented by this serious complication in newborns with a contaminated delivery, and highlight the site of the lesion and causal agents.
authors.affiliation: Department of Pediatrics, Hospital das Clínicas, Faculty of Medicine, University of São Paulo.
authors.forename: V L
authors.initials: VL
authors.lastname: Krebs
authors.forename: K M
authors.initials: KM
authors.lastname: Koga
authors.forename: E M
authors.initials: EM
authors.lastname: Diniz
authors.forename: M E
authors.initials: ME
authors.lastname: Ceccon
authors.forename: F A
authors.initials: FA
authors.lastname: Vaz
mesh_terms: D004926:Escherichia coli; D019115:Fasciitis, Necrotizing / Q000382:microbiology* / Q000473:pathology; D017809:Fatal Outcome; D005260:Female; D006700:Home Childbirth; D006801:Humans; D007231:Infant, Newborn; D007868:Leg Dermatoses / Q000382:microbiology* / Q000473:pathology; D020613:Morganella morganii