Case report and literature review of late-onset group B streptococcal disease manifesting as necrotizing fasciitis in preterm infants: is this a new syndrome?
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.
Lang
M E
ME
Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Vaudry
W
W
Robinson
J L
JL
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*