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Báo cáo y học: "Neonatal retroauricular cellulitis as an indicator of group B streptococcal bacteremia: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Neonatal retroauricular cellulitis as an indicator of group B streptococcal bacteremia: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Neonatal retroauricular cellulitis as an indicator of group B streptococcal bacteremia a case report David Pérez Solis Juan José Diaz Martín and Etelvina Suárez Menendez Address Department of Pediatrics Hospital San Agustín Camino de Heros 4 33400 Avilés Spain Email David Pérez Solís - david@perezsolis.es Juan José Díaz Martín - juanjo.diazmartin@gmail.com Etelvina Suárez Menéndez - marietelsm@gmail.com Corresponding author Published 16 December 2009 Received 12 October 2009 Journal of Medical Case Reports 2009 3 9334 doi l0.ll86 l752-l947-3-9334 Accepted 16 December 2009 This article is available from http www.jmedicalcasereports.cOm content 3 l 9334 2009 Pérez Solís et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract 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 2l-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