Group B streptococcal cellulitis in infancy.
Cellulitis in an infant younger than 3 months is most commonly caused by group B streptococci (GBS). A baby with cellulitis in this age group should have a full septic workup including blood and cerebrospinal fluid cultures, as GBS cellulitis may be associated with bacteremia. We discuss a 6-week-old baby with cellulitis and meningitis to illustrate the potential complexity of this infectious disease process. We also present a concise review of GBS cellulitis and of meningitis with initially normal cerebrospinal fluid analysis.
Mittal
Manoj K
MK
Division of Emergency Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA 19104-4399, USA. manojmital@yahoo.com
Shah
Samir S
SS
Friedlaender
Eron Y
EY
D002481:Cellulitis / Q000175:diagnosis* / Q000382:microbiology; D002555:Cerebrospinal Fluid / Q000382:microbiology; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000175:diagnosis* / Q000382:microbiology; D016920:Meningitis, Bacterial / Q000134:cerebrospinal fluid / Q000150:complications* / Q000382:microbiology; D013290:Streptococcal Infections / Q000134:cerebrospinal fluid / Q000175:diagnosis* / Q000382:microbiology; D013292:Streptococcus agalactiae / Q000302:isolation & purification