title: Neonatal necrotizing fasciitis of the scrotum caused by Streptococcus agalactiae.
abstract: We herein describe the case of a 27-day-old male infant who was brought to the emergency room for intermittent crying, and swelling of the left scrotum. Based on the clinical findings, necrotizing fasciitis was suspected, and surgical intervention was successfully completed within a few hours of admission. Streptococcus agalactiae type Ia was cultured from the drained abscess, and was considered the causative pathogen. To our knowledge, this is the first report of neonatal necrotizing fasciitis caused by S. agalactiae. Prompt diagnosis and immediate surgical debridement are crucial in the initial management of this disease.
authors.affiliation: Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
authors.forename: Junpei
authors.initials: J
authors.lastname: Kuroda
authors.forename: Nobuaki
authors.initials: N
authors.lastname: Inoue
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Satoh
authors.forename: Ryuji
authors.initials: R
authors.lastname: Fukuzawa
authors.forename: Toshiro
authors.initials: T
authors.lastname: Terakawa
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Hasegawa
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D015311:Cefmetazole / Q000627:therapeutic use; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D005832:Genital Diseases, Male / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D012611:Scrotum / Q000382:microbiology* / Q000473:pathology; D013290:Streptococcal Infections / Q000188:drug therapy / Q000382:microbiology*; D013292:Streptococcus agalactiae / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents; D015311:Cefmetazole
keywords: Streptococcus agalactiae; necrotizing fasciitis; neonate