Pediatr Emerg Med J.  2022 Dec;9(2):103-107. 10.22470/pemj.2022.00570.

Necrotizing fasciitis due to late-onset group B streptococcal bacteremia in a 2-month-old girl

• Lee NH
• Kim GE
• Choi HJ

• KMID: 2538071
• DOI: http://doi.org/10.22470/pemj.2022.00570

Abstract

Necrotizing fasciitis (NF) is a severe soft tissue infection, characterized by rapid and fulminant progression. Thus, early suspicion, and prompt medical and aggressive surgical management are important for the clinical outcomes of NF. Despite the rarity of NF in infants and group B streptococcus as its cause, a 2-month-old preterm girl presented with NF involving the suprapubic, inguinal, and lower lateral abdominal regions caused by group B streptococcus. The girl recovered after early medical and surgical management.

Keyword

Fasciitis, Necrotizing; Infant; Neonatal Sepsis; Soft Tissue Infections; Streptococcus agalactiae

Figure

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  Fig. 1. The skin lesion before operation (A), on day 2 (postoperative day 1) (B), on day 6 (C), and on day 16 (D).

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  Fig. 2. Computed tomography scan showing a tiny free air collection in the left pelvic cavity (arrow). Of note, diffuse soft tissue edema and necrosis (arrowhead) are shown from the pelvic cavity to both inguinal regions. *Left ilium, †right femur.

Reference

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