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May 1977

Neonatal Anaerobic (Clostridial) Cellulitis and Omphalitis

Author Affiliations

Glendora, Calif

Arch Dermatol. 1977;113(5):683-684. doi:10.1001/archderm.1977.01640050143028

To the Editor.—  The following case is reported as an example of an unusual anaerobic infection with cutaneous findings.

Report of Case.—  A 3.4-kg baby girl was delivered without incident of a 22-year-old primipara. At age 4 days, the infant was hospitalized 14 hours after the development of erythema and induration of the periumbilical skin. A brown watery discharge developed that was found to contain Gram-positive rods and cocci. The rod, identified as a clostridial species, grew as an anaerobe. Staphylococcus aureus and Streptococcus faecalis were also cultured, the former growing as a facultative anaerobe. Antibiotics failed to halt the process and after 48 hours of illness the skin in the periumbilical region had become dusky purple-gray and necrotic in appearance to a point 1.5 cm from the umbilicus. Vesicles were apparent centrally. Peripheral to the devitalized area was a 3- to 5-cm thick zone of sharply demarcated viable but

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