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Neonatal retroauricular cellulitis as an indicator of group B streptococcal bacteremia: a case report.
MedLine Citation:
PMID:  20062760     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: The 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 PRESENTATION: A 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.
CONCLUSION: A 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.
Authors:
David Pérez Solís; Juan José Díaz Martín; Etelvina Suárez Menéndez
Publication Detail:
Type:  Journal Article     Date:  2009-12-16
Journal Detail:
Title:  Journal of medical case reports     Volume:  3     ISSN:  1752-1947     ISO Abbreviation:  J Med Case Rep     Publication Date:  2009  
Date Detail:
Created Date:  2010-01-11     Completed Date:  2011-07-14     Revised Date:  2012-05-16    
Medline Journal Info:
Nlm Unique ID:  101293382     Medline TA:  J Med Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  9334     Citation Subset:  -    
Affiliation:
Department of Pediatrics, Hospital San Agustín, Camino de Heros, 4 33400 Avilés, Spain.
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