Faciocervical Group B Streptococcal Necrotising Fasciitis: a Multidisciplinary Approach to Management

Area of Science:

• Neonatal surgery
• Infectious diseases
• Dermatology

Background:

• Neonatal necrotising fasciitis is a rare, severe infection.
• Group B Streptococcus (GBS) is the common causative agent.
• Facial and cervical infections often originate from the oral cavity.

Observation:

• A male neonate presented with severe faciocervical necrotising fasciitis.
• The condition was secondary to Streptococcus agalactiae (GBS).
• Multiple surgical debridements were required.

Findings:

• The soft tissue defect healed with negative pressure therapy and dermal substitute.
• Skin grafting was avoided due to prematurity.
• Intensive scar therapy resulted in a favorable cosmetic outcome without functional limitation.

Implications:

• Early surgical intervention is critical for life-threatening GBS infections.
• A multidisciplinary approach, including early scar management, is essential.
• Negative pressure therapy and dermal substitutes offer viable reconstructive options.