Necrotizing fasciitis in a newborn infant: a case report

Authors

  • Vera Lúcia Jornada Krebs University of São Paulo; Faculty of Medicine; Hospital das Clínicas; Department of Pediatrics
  • Karen Mayumi Koga University of São Paulo; Faculty of Medicine; Hospital das Clínicas; Department of Pediatrics
  • Edna Maria de Albuquerque Diniz University of São Paulo; Faculty of Medicine; Hospital das Clínicas; Department of Pediatrics
  • Maria Esther Jurfest Ceccon University of São Paulo; Faculty of Medicine; Hospital das Clínicas; Department of Pediatrics
  • Flávio Adolfo Costa Vaz University of São Paulo; Faculty of Medicine; Hospital das Clínicas; Department of Pediatrics

DOI:

https://doi.org/10.1590/S0041-87812001000200005

Keywords:

Necrotizing fasciitis, Bacterial infections, Neonate, Neonatal sepsis, Newborn

Abstract

We report the case of a one-day-old newborn infant, female, birth weight 1900 g, gestational age 36 weeks presenting with necrotizing fasciitis caused by E. coli and Morganella morganii. The newborn was allowed to fall into the toilet bowl during a domestic delivery. The initial lesion was observed at 24 hours of life on the left leg at the site of the venipuncture for the administration of hypertonic glucose solution. Despite early treatment, a rapid progression occurred resulting in a fatal outcome. We call attention to the risk presented by this serious complication in newborns with a contaminated delivery, and highlight the site of the lesion and causal agents.

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Published

2001-04-01

Issue

Vol. 56 No. 2 (2001)

Section

Case Report

How to Cite

Krebs, V. L. J., Koga, K. M., Diniz, E. M. de A., Ceccon, M. E. J., & Vaz, F. A. C. (2001). Necrotizing fasciitis in a newborn infant: a case report . Revista Do Hospital Das Clínicas, 56(2), 59-62. https://doi.org/10.1590/S0041-87812001000200005