Necrotizing Fasciitis of Scalp and Neck in Neonates
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Necrotizing fasciitis (NF) has been described with multiple conditions including omphalitis, balanitis, immunodeficiency etc. Back and abdomen are the most commonly affected areas. NF of scalp is rare. We report two neonates with cellulitis of scalp and neck which progressed to necrotizing fasciitis and myositis of neck muscles.A term 3 kg hospital born neonate presented on day 9 of life with continuous high grade fever since day 2 of life. Baby developed progressive erythema and swelling of scalp, face and periorbital area with small scattered black patches for 5 days. Complete blood count showed haemoglobin of 13.5 g/dL, total leukocyte count of 26,200/mm3 and platelet count of 71,000/mm3. Coagulogram, cerebrospinal fluid (CSF) analysis, HIV ELISA, blood culture, immunoglobulin profile, T and B-lymphocyte subsets and nitro-blue tetrazolium tests were in normal range. Contrast CT scan showed diffuse skin and subcutaneous thickening of face and neck. Baby was managed with vancomycin, meropenem and clindamycin....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5423892/
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