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Neonatal necrotizing fasciitis of the scrotum caused by Streptococcus agalactiae
Authors:Junpei Kuroda  Nobuaki Inoue  Hiroyuki Satoh  Ryuji Fukuzawa  Toshiro Terakawa  Yukihiro Hasegawa
Affiliation:1. Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan;2. Division of Pediatric Emergency Medicine, Department of Pediatric Emergency and Critical Care Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan;3. Department of Urology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan;4. Pathology and Laboratory Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan
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.
Keywords:necrotizing fasciitis  neonate  Streptococcus agalactiae
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