title: Necrotizing fasciitis caused by Staphylococcus epidermidis in a neonate with extremely low birthweight.
abstract: Necrotizing fasciitis (NF) is a severe life-threatening soft tissue infection characterized by rapidly spreading necrosis of the fascia and the subcutaneous tissue. The initial skin presentation ranges from minimal rash to cellulites. The lesions subsequently spread rapidly. Even with appropriate medical and surgical therapy, the mortality rate in NF is more than 50%. In cases of neonates, mortality rate is higher than that ratio. High index of suspicion, prompt aggressive surgery, appropriate antibiotics and supportive care are the mainstays of management in the newborn infant with NF. Herein, we report a case of invasive and mortal NF caused by Staphylococcus epidermidis in an infant with extremely low birthweight.
authors.affiliation: Department of Pediatrics, Yuzuncu Yil University School of Medicine, Van, Turkey. pekererdal@hotmail.com
authors.forename: Erdal
authors.initials: E
authors.lastname: Peker
authors.forename: Ercan
authors.initials: E
authors.lastname: Kirimi
authors.forename: Oguz
authors.initials: O
authors.lastname: Tuncer
authors.forename: Abdullah
authors.initials: A
authors.lastname: Ceylan
authors.forename: Eren
authors.initials: E
authors.lastname: Cagan
authors.forename: Murat
authors.initials: M
authors.lastname: Dogan
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D052577:Infant, Extremely Low Birth Weight; D007231:Infant, Newborn; D018461:Soft Tissue Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D013212:Staphylococcus epidermidis / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents