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Images in paediatrics
Necrotising fasciitis with Escherichia coli in a newborn infant after abdominal surgery
  1. Lisa Barker1,
  2. Kirsty Pringle2,
  3. Jonathan Cusack1
  1. 1 Neonatal Intensive Care Unit, Leicester Royal Infirmary, Leicester, UK
  2. 2 Department 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}

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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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  • Contributors JC suggested the concept of an image or case review. The original article was written by LB. LB, KP and JC were all involved in drafting the article and revised it critically for intellectual content. All three authors have had final approval of the version submitted to be published.

  • Competing interests None.

  • Patient consent Obtained.

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