Acute necrotising fasciitis due to streptococcal infection in a newborn infant.

Nutman, J; Henig, E; Wilunsky, E; Reisner, Salomon H.

doi:10.1136/adc.54.8.637

Cited by 25 publications

(10 citation statements)

References 5 publications

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“…In a recent review, Chow et al [5] described two cases and reported on 19 cases documented in the English literature from the beginning of the 1980s. Before that review, several other patients had been reported [4,17,20,21,23,25,26], and since 1992 more than ten additional cases have been described, the majority of them in children [7±9, 11,14,16,18,24,27,29]. These case reports indicate that although not very common, GAS has to be considered as a cause of bacterial meningitis in childhood.…”

Section: Discussionmentioning

confidence: 81%

Streptococcus pyogenes meningitis: report of a case and review of the literature

Berner¹,

Herdeg²,

Gordjani³

et al. 2000

European Journal of Pediatrics

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Section: Discussionmentioning

confidence: 81%

Streptococcus pyogenes meningitis: report of a case and review of the literature

Berner¹,

Herdeg²,

Gordjani³

et al. 2000

European Journal of Pediatrics

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“…[14][15][16] Sonographically guided aspiration allows more accuracy in this procedure. In previously described pediatric cases, the mean duration before diagnosis was usually more than 24 h. 2,[17][18][19][20][21][22][23][24][25] Most of the patients received skin grafting for wound reconstruction. In a previous report of seven neonatal cases, five infants died during hospitalization.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of necrotizing fasciitis in children.

Chao

Kong

Lin

1999

Journal of Ultrasound in Medicine

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Necrotizing fasciitis is a rare but progressive soft tissue infection. This condition is difficult to recognize in the early phase, when it is often confused with cellulitis. We report the cases of four children with necrotizing fasciitis. The initial presentation in these cases was cellulitis. Fever and soft tissue swelling occurred within 24 h and spreading erythema within 4 to 12 h. Radiologic studies of the lesions showed soft tissue thickening. Ultrasonography of the lesions demonstrated distorted, thickened fascia with fluid accumulation. Well-defined, loculated abscesses were demonstrated in two cases. Although typical dusky skin and purplish patches were not found in our cases, necrotizing fasciitis was strongly suspected on the basis of the clinical course and sonographic findings. Ultrasonography also was used as a guide for aspiration of pus. Gram-stained smears and bacterial cultures yielded the pathogens. The choice of antibiotic therapy was made on the results of smears and culture. All patients survived after immediate surgical debridement, intensive antibiotic therapy, and aggressive wound care. In conclusion, ultrasonography provides a rapid and valuable diagnostic modality for necrotizing fasciitis. The pus obtained through sonographically guided aspiration for bacterial culture can allow identification of the pathogenic organisms.

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“…Reports of neonatal disease are still rare. Since 1979 only ten cases of severe neonatal disease caused by group A streptococci have been extensively described in the literature [1,2,8,9,10,12]. We report the cases of seven neonates with GAS disease admitted to our neonatal intensive care unit during a 20-year period (1979±1998).…”

Section: Introductionmentioning

confidence: 95%