title: Case report and literature review of late-onset group B streptococcal disease manifesting as necrotizing fasciitis in preterm infants: is this a new syndrome?
abstract: We describe a 5-month-old preterm female infant who presented with necrotizing fasciitis involving the face and neck caused by group B streptococcus (GBS). Because of the extent and anatomic location of the necrosis, surgical debridement was delayed for 16 days, but the infant survived. Review of the literature demonstrated that 3 of the 10 previously reported cases of necrotizing fasciitis caused by GBS involved preterm infants and that 2 of these cases also involved the head and neck.
authors.affiliation: Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: M E
authors.initials: ME
authors.lastname: Lang
authors.forename: W
authors.initials: W
authors.lastname: Vaudry
authors.forename: J L
authors.initials: JL
authors.lastname: Robinson
mesh_terms: D003646:Debridement; D019115:Fasciitis, Necrotizing / Q000382:microbiology*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D013290:Streptococcal Infections / Q000601:surgery*; D013291:Streptococcus / Q000302:isolation & purification*