Síndrome de celulitis-adenitis por estreptococo del grupo B como presentación de sepsis neonatal tardía

Palacín, Pere Soler; Gil, R Monfort; Vilella, Laura Castells; Tangorra, F Pagone; Créixams, X Serres i; Ramírez, J Balcells

doi:10.1157/13056013

Cited by 1 publication

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“…In 15 out of 16 patients, GBS bacteremia was present upon admission. Since then, some new cases with very similar features have been reported in the literature [6-12]. …”

Section: Discussionmentioning

confidence: 99%

Neonatal retroauricular cellulitis as an indicator of group B streptococcal bacteremia: a case report

2009

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IntroductionThe relation between cellulitis and Group B streptococcus infection in newborns and small infants was first reported during the early 1980s and named cellulitis-adenitis syndrome. We report a case of a neonate with cellulitis-adenitis syndrome in an unusual location (retroauricular).Case presentationA 21-day-old Caucasian female infant was brought to the emergency department with fever, irritability and a decreased appetite. Physical examination revealed erythema and painful, mild swelling in the right retroauricular region. The blood count and C-reactive protein level were normal. She was treated with ceftriaxone. The fever and irritability were resolved after 24 hours, and the cellulitis was clearly reduced after two days of hospitalization. Blood culture yielded Group B streptococcus.ConclusionA thorough evaluation must be done, and lumbar punctures for infants with cellulitis must be considered. We emphasize the lack of data about acute phase reactants to predict bacteremia and meningitis and to adjust the duration of parenteral antibiotic therapy to address this syndrome.

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“…In 15 out of 16 patients, GBS bacteremia was present upon admission. Since then, some new cases with very similar features have been reported in the literature [6-12]. …”

Section: Discussionmentioning

confidence: 99%