Necrotizing fasciitis of the scalp in a newborn.
BACKGROUND
Fetal scalp electrode monitoring is usually without complications, but on rare occasions it can serve as a portal of entry for organisms colonizing the maternal genital tract.


METHODS
We present a case of neonatal necrotizing fasciitis of the scalp that was associated with intrapartum fetal scalp electrode monitoring. Skin cultures grew Group A Streptococcus M11 T nontypeable serotype, an unusual cause of neonatal necrotizing fasciitis. The neonate's mother had a concurrent perineal infection and the same Group A streptococcal serotype was cultured from maternal blood and vaginal swabs.


CONCLUSIONS
This case highlights the emergence of life-threatening Group A Streptococcus causing invasive disease in both infants and mothers and the need for careful monitoring of neonates who have had intrapartum electrode monitoring.
Davey
Cecile
C
Department of Perinatal-Neonatal Medicine, University of Toronto/Hospital for Sick Children, Toronto, Ontario, Canada. cecileddavey@yahoo.com
Moore
Aideen M
AM
D004566:Electrodes; D004866:Equipment Contamination; D019115:Fasciitis, Necrotizing / Q000209:etiology*; D005260:Female; D005323:Fetal Monitoring / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D007231:Infant, Newborn; D012536:Scalp Dermatoses / Q000209:etiology*