Neonatal cervical group B streptococcal cellulitis

I Elouardighi *, I Zizi, L El Iaziji, N Amalik and A Barkat

National Reference Center for Neonatology, Children's Hospital Chu Rabat, Research team in health and nutrition of the mother-child couple. Faculty of Medicine and Pharmacy. Mohamed V University Rabat, Morocco.
 
Research Article
World Journal of Biology Pharmacy and Health Sciences, 2023, 14(01), 150–152.
Article DOI: 10.30574/wjbphs.2023.14.1.0189
Publication history: 
Received on 10 March 2023; revised on 17 April 2023; accepted on 19 April 2023
 
Abstract: 
Cellulitis of neonates and infants younger than three months of age is rare and often atypical in presentation. Because of the potentially (and rapidly) lethal course of group B streptococcal sepsis, it is essential to avoid delay in diagnosis and treatment. We report the case of a neonate with group B streptococcal retroauricular cellulitis. Admitted for late bacterial neonatal infection with cutaneous location. The history of the disease dates back to one day before admission, with the appearance of a painful cervical swelling without other associated signs evolving in a context of fever of 39°.
 The clinical examination found a pink tonic reactive newborn in good hemodynamic and respiratory condition, febrile at 39.5°. With the presence of a painful and warm latero-cervical mass of hard consistency and the presence of associated bilateral latero-cervical adenopathies was noted. The oral cavity examination was unremarkable;
Cellulitis in newborns and infants under 3 months of age is rare and has not been described in the literature except in a few clinical cases. In the case of any cellulitis of the face in a newborn or before the age of 3 months, late infection with group B streptococci (GBS) should be considered.
 
Keywords: 
Cellulitis; group B; Streptococcal; Neonatal; Dermo-hypodermitis
 
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