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We describe a 5-month-old preterm female infant who presented with necrotizing fasciitis involving the face and neck caused by group B streptococcus (GBS). Because of the extent and anatomic location of the necrosis, surgical debridement was delayed for 16 days, but the infant survived. Review of the literature demonstrated that 3 of the 10 previously reported cases of necrotizing fasciitis caused by GBS involved preterm infants and that 2 of these cases also involved the head and neck.

clinical infectious diseases/clinical infectious diseases (online. university of chicago. press)

Case Report and Literature Review of Late-Onset Group B Streptococcal Disease Manifesting as Necrotizing Fasciitis in Preterm Infants: Is This a New Syndrome?