Davey Cecile, Moore Aideen M
Department of Perinatal-Neonatal Medicine, University of Toronto/Hospital for Sick Children, Toronto, Ontario, Canada.
Obstet Gynecol. 2006 Feb;107(2 Pt 2):461-3. doi: 10.1097/01.AOG.0000164094.02571.77.
Fetal scalp electrode monitoring is usually without complications, but on rare occasions it can serve as a portal of entry for organisms colonizing the maternal genital tract.
We present a case of neonatal necrotizing fasciitis of the scalp that was associated with intrapartum fetal scalp electrode monitoring. Skin cultures grew Group A Streptococcus M11 T nontypeable serotype, an unusual cause of neonatal necrotizing fasciitis. The neonate's mother had a concurrent perineal infection and the same Group A streptococcal serotype was cultured from maternal blood and vaginal swabs.
This case highlights the emergence of life-threatening Group A Streptococcus causing invasive disease in both infants and mothers and the need for careful monitoring of neonates who have had intrapartum electrode monitoring.
胎儿头皮电极监测通常无并发症，但在极少数情况下，它可成为母体生殖道定植菌的侵入门户。
我们报告一例与产时胎儿头皮电极监测相关的新生儿头皮坏死性筋膜炎病例。皮肤培养物中生长出A组链球菌M11 T不可分型血清型，这是新生儿坏死性筋膜炎的一种不常见病因。新生儿的母亲同时患有会阴感染，且在母体血液和阴道拭子中培养出相同的A组链球菌血清型。
本病例凸显了可导致婴儿和母亲发生侵袭性疾病的危及生命的A组链球菌的出现，以及对产时接受电极监测的新生儿进行仔细监测的必要性。
