Arch Dis Child Fetal Neonatal Ed doi:10.1136/archdischild-2013-303771
  • Images in neonatal medicine

Necrotising fasciitis with Escherichia coli in a newborn infant after abdominal surgery

  1. Jonathan Cusack1
  1. 1Neonatal Intensive Care Unit, Leicester Royal Infirmary, Leicester, UK
  2. 2Department of Paediatric Surgery, Leicester Royal Infirmary, Leicester, UK
  1. Correspondence to Dr Lisa Barker, Neonatal Intensive Care Unit, Leicester Royal Infirmary, Infirmary Square, Leicester LE1 5WW, UK; lisabarker{at}
  • Received 28 January 2013
  • Revised 26 February 2013
  • Accepted 27 February 2013
  • Published Online First 9 April 2013

Necrotising fasciitis (NF) is typically caused by group A Streptococcus either alone or with Staphylococcus aureus. The incidence and death rates of NF have changed little over the last 10 years1 and neonatal mortality may be as high as 59%.2

Documented Escherichia coli NF is less common, with almost all cases being fatal in the adult population.3 One neonatal case has been reported …

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