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Necrotizing Fasciitis of the Scalp in a Newborn

Davey, Cecile MBBS, DM; Moore, Aideen M. MD, FRCPC

doi: 10.1097/01.AOG.0000164094.02571.77
Case Report
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BACKGROUND: Fetal scalp electrode monitoring is usually without complications, but on rare occasions it can serve as a portal of entry for organisms colonizing the maternal genital tract.

CASE: We present a case of neonatal necrotizing fasciitis of the scalp that was associated with intrapartum fetal scalp electrode monitoring. Skin cultures grew Group A Streptococcus M11 T nontypeable serotype, an unusual cause of neonatal necrotizing fasciitis. The neonate’s mother had a concurrent perineal infection and the same Group A streptococcal serotype was cultured from maternal blood and vaginal swabs.

CONCLUSION: This case highlights the emergence of life-threatening Group A Streptococcus causing invasive disease in both infants and mothers and the need for careful monitoring of neonates who have had intrapartum electrode monitoring.

This case highlights the emergence of Group A Streptococcus in invasive peripartum infections and the need for careful newborn observation after intrapartum fetal scalp monitoring.

From the 1Department of Perinatal-Neonatal Medicine, University of Toronto/Hospital for Sick Children, Toronto, Ontario, Canada.

Corresponding author: Cecile Davey, c/o Hospital for Sick Children, 550 University Avenue, Toronto, Ontario M5G1X8, Canada; e-mail: cecileddavey@yahoo.com.

© 2006 The American College of Obstetricians and Gynecologists