A case of facial cellulitis caused by group B streptococcus in an extremely low birthweight infant
| Autor: | Yuki Kodama, Naoshi Yamada, Kazuhiko Nakame, Hiroshi Sameshima, Rie Yamashita, Junsuke Muraoka, Masatoki Kaneko, Marie Higashi |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
0301 basic medicine Microbiology (medical) Pediatrics medicine.medical_specialty medicine.medical_treatment 030106 microbiology medicine.disease_cause Group B Streptococcus agalactiae Sepsis 03 medical and health sciences 0302 clinical medicine Pregnancy Streptococcal Infections medicine Birth Weight Humans Pharmacology (medical) 030212 general & internal medicine reproductive and urinary physiology Debridement Neonatal sepsis Cesarean Section Streptococcus business.industry High mortality Infant Newborn Cellulitis bacterial infections and mycoses medicine.disease Infectious Diseases Female business Meningitis |
| Zdroj: | Journal of Infection and Chemotherapy. 27:1369-1372 |
| ISSN: | 1341-321X |
| DOI: | 10.1016/j.jiac.2021.04.021 |
| Popis: | Group B streptococcus (GBS) is an important pathogen that causes neonatal sepsis and meningitis, which have high mortality and morbidity. Cellulitis is a rare presentation of late-onset neonatal GBS infection. We report the case of an extremely low birthweight infant with facial cellulitis caused by late-onset GBS infection. A 590-g male neonate was delivered by Cesarean section at 23 gestational weeks due to intrauterine GBS infection. Although he was effectively treated with 2 weeks of antimicrobial therapy for early-onset GBS sepsis, he subsequently developed facial and submandibular cellulitis caused by GBS at 44 days of age. He was treated with debridement and antibiotic therapy, and after 2 months his facial involvement had improved, but cosmetic issues remained. Neonatal GBS infection requires a prompt sepsis workup followed by the initiation of empiric antibiotic therapy. Additionally, lifesaving surgical debridement is sometimes necessary for cellulitis, even in premature infants. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect