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Original research
Images in neonatal medicine
Fulminant fatal necrotising fasciitis in an extremely preterm infant
  1. Risa Birbal1,
  2. Cristina Martin Jimenez1,
  3. Paul Clarke1,2,
  4. Priyadarsini Muthukumar1
  1. 1 Neonatal Intensive Care Unit, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK
  2. 2 Norwich Medical School, University of East Anglia, Norwich, UK
  1. Correspondence to Dr Risa Birbal, Neonatal Intensive Care Unit, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK; risabirbal{at}gmail.com

https://doi.org/10.1136/archdischild-2020-320339

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    A 23+0 week gestation twin girl weighing 465 g was born via spontaneous vaginal delivery. On postnatal day 4, a small area of broken skin was noted on her back. Flucloxacillin and gentamicin were commenced and Cavilon cream was applied. Vancomycin was substituted after blood culture grew Staphylococcus epidermidis. A skin swab isolated skin flora only. By postnatal day 10, the lesion had worsened with a haemorrhagic petechial …

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    Footnotes

    • Twitter @risa_birbal

    • Contributors RB wrote the first manuscript draft. All authors contributed to manuscript revision and approval of the final version.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.