• Pediatr. Infect. Dis. J. · Nov 2006

    Case Reports

    Community-associated methicillin-resistant Staphylococcus aureus necrotizing fasciitis in a neonate.

    • Walter Dehority, Emily Wang, Patty S Vernon, Carla Lee, Francoise Perdreau-Remington, and John Bradley.
    • University of California, San Diego School of Medicine, CA, USA. wdehority@ucsd.edu
    • Pediatr. Infect. Dis. J. 2006 Nov 1; 25 (11): 1080-1.

    AbstractNeonatal necrotizing fasciitis is rare and is predominantly associated with methicillin-susceptible Staphylococcus aureus (MSSA). Necrotizing fasciitis associated with community-associated methicillin-resistant S aureus (CA-MRSA) has only recently been reported in the literature, primarily among adults. We present a case of a previously healthy neonate with necrotizing fasciitis of the back caused by CA-MRSA, pulsed-field type USA-300. We describe a 5-day-old infant with necrotizing fasciitis of the back caused by CA-MRSA. Treatment of necrotizing fasciitis requires prompt medical evaluation, prompt surgical debridement, and appropriate antibiotic selection. The potential involvement of CA-MRSA in necrotizing fasciitis in children needs to be considered before institution of antibiotics.

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