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    Idiopathic neonatal necrotising fasciitis caused by community-acquired MSSA encoding Panton Valentine Leukocidin genes.

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    Authors
    Dunlop, Rebecca L E
    Eadie, Patricia
    Affiliation
    Department of Plastic and Reconstructive Surgery, Our Lady's Children's Hospital,, Crumlin, Dublin 12, Ireland. rledunlop@gmail.com
    Issue Date
    2012-02-01T10:24:07Z
    MeSH
    Bacterial Toxins/genetics
    Bacterial Typing Techniques
    Buttocks
    Combined Modality Therapy
    Community-Acquired Infections/*microbiology/therapy
    Exotoxins/genetics
    Fasciitis, Necrotizing/*microbiology/therapy
    Gene Transfer, Horizontal/genetics
    Humans
    Infant, Newborn
    Leukocidins/genetics
    Male
    Methicillin Resistance/genetics
    Microbial Sensitivity Tests
    Staphylococcal Infections/*microbiology/therapy
    Staphylococcus aureus/genetics
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    Citation
    J Plast Reconstr Aesthet Surg. 2011 Nov;64(11):1522-4. Epub 2011 Apr 20.
    Journal
    Journal of plastic, reconstructive & aesthetic surgery : JPRAS
    URI
    http://hdl.handle.net/10147/207403
    DOI
    10.1016/j.bjps.2011.03.041
    PubMed ID
    21511548
    Abstract
    Neonatal necrotising fasciitis is very rare in comparison to the adult presentation of the disease and a Plastic Surgeon may only encounter one such case during his or her career. Often this is initially misdiagnosed and managed as simple cellulitis. It generally affects previously healthy babies, the site is often the lower back area and a history of minor skin trauma may be elicited. The causative organism is usually Streptococcus or polymicrobial, as is the case in the adult population. We present the case of a previously healthy 11-day-old infant with idiopathic, rapidly progressive necrotising fasciitis of the back, cause by Methicillin sensitive Staphylococcus aureus (MSSA) infection. The strain was isolated and found to encode the Panton-Valentine Leukocidin genes, which have been associated with particularly severe necrotising infections in other sites, with high mortality. These strains are the subject of specific treatment and eradication guidance in the UK but awareness of this and the importance of obtaining detailed culture typing is likely to be low amongst Plastic Surgeons.
    Language
    eng
    ISSN
    1878-0539 (Electronic)
    1748-6815 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.bjps.2011.03.041
    Scopus Count
    Collections
    Children's Health Ireland (CHI) at Crumlin

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