Neonatal retroauricular cellulitis as an indicator of group B streptococcal bacteremia: a case report

<p>Abstract</p> <p>Introduction</p> <p>The relation between cellulitis and Group B streptococcus infection in newborns and small infants was first reported during the early 1980s and named cellulitis-adenitis syndrome. We report a case of a neonate with cellulitis-adenitis syndrome in an unusual location (retroauricular).</p> <p>Case presentation</p> <p>A 21-day-old Caucasian female infant was brought to the emergency department with fever, irritability and a decreased appetite. Physical examination revealed erythema and painful, mild swelling in the right retroauricular region. The blood count and C-reactive protein level were normal. She was treated with ceftriaxone. The fever and irritability were resolved after 24 hours, and the cellulitis was clearly reduced after two days of hospitalization. Blood culture yielded Group B streptococcus.</p> <p>Conclusion</p> <p>A thorough evaluation must be done, and lumbar punctures for infants with cellulitis must be considered. We emphasize the lack of data about acute phase reactants to predict bacteremia and meningitis and to adjust the duration of parenteral antibiotic therapy to address this syndrome.</p

Relapsing acute and chronic pancreatitis

Twenty five children with non-traumatic relapsing acute or chronic pancreatitis who had been followed up from five months to seven years were studied. Seven had congenital anomalies, including two with choledochal cysts and four with pancreas divisum. Alcohol related disease was suspected in one child. The importance of diabetes in two patients and a positive family history in a further three is discussed, but in 12 children no association was found. Management was similar to that for adults. Surgical intervention was required in six patients, and percutaneous drainage of pseudocysts in a further three. Outcome has generally been good