Community-associated methicillin-resistant Staphylococcus aureus necrotizing fasciitis in a neonate.
Neonatal necrotizing fasciitis is rare and is predominantly associated with methicillin-susceptible Staphylococcus aureus (MSSA). Necrotizing fasciitis associated with community-associated methicillin-resistant S aureus (CA-MRSA) has only recently been reported in the literature, primarily among adults. We present a case of a previously healthy neonate with necrotizing fasciitis of the back caused by CA-MRSA, pulsed-field type USA-300. We describe a 5-day-old infant with necrotizing fasciitis of the back caused by CA-MRSA. Treatment of necrotizing fasciitis requires prompt medical evaluation, prompt surgical debridement, and appropriate antibiotic selection. The potential involvement of CA-MRSA in necrotizing fasciitis in children needs to be considered before institution of antibiotics.
Dehority
Walter
W
University of California, San Diego School of Medicine, CA, USA. wdehority@ucsd.edu
Wang
Emily
E
Vernon
Patty S
PS
Lee
Carla
C
Perdreau-Remington
Francoise
F
Bradley
John
J
D017714:Community-Acquired Infections / Q000382:microbiology*; D019115:Fasciitis, Necrotizing / Q000382:microbiology*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D016106:Methicillin Resistance; D013203:Staphylococcal Infections / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000187:drug effects*