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Group B streptococcus sepsis in an infant presented with cellulitis of soft tissue of neck
  1. Muhammad Moazzam Gulzar1,
  2. Andrea Roman1,
  3. Rizwan Gul1 and
  4. Nagabathula Ramesh2
  1. 1Paediatircs, Midland Regional Hospital Portlaoise, Portlaoise, Ireland
  2. 2Radiology, HSE, Portlaoise, Ireland
  1. Correspondence to Dr Muhammad Moazzam Gulzar; immoazzam1{at}hotmail.com

Abstract

We report a case of cellulitis of the soft tissue of the neck with group B streptococcus (GBS) sepsis in a 4-week-old baby boy presented with a 1-day history of fever, irritability and feed refusal. While in the hospital, a left-sided submandibular swelling extending to preauricular area started emerging, which progressed dramatically. Ultrasound scan of the neck confirmed inflammation of the underlying soft tissue while revealing multiple enlarged lymph nodes without any abscess formation and overlying soft tissue oedema. Blood cultures were flagged positive at 9 hours for GBS. The infant was treated with intravenous antibiotics for 2 weeks. GBS is considered a common cause of early-onset sepsis in neonates. However, it can also lead to late-onset sepsis in infancy with variable presentations. In our case, GBS sepsis manifested with cellulitis of the soft tissue of the neck along with swelling of local lymph nodes.

  • paediatrics
  • infant health
  • infectious diseases
  • emergency medicine
  • ear
  • nose and throat/otolaryngology

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Footnotes

  • Twitter @mmgulzar

  • Contributors MMG and AR were both the attending doctors, managed the patient in the emergency unit and followed the events that happened in the tertiary care unit after transfer. AR wrote down the case presentation while MMG did a literature review and wrote down the remaining part of the case report. RG was the attending consultant and reviewed the manuscript for final approval before submission. NR was the consultant radiologist who helped with the radiological investigation and images of an ultrasound scan and its interpretation.

  • 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; externally peer-reviewed.

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