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Clinical Pediatrics, Vol. 26, No. 4, 183-185 (1987)
DOI: 10.1177/000992288702600405

Neonatal Retropharyngeal Cellulitis Due to Group B Streptococcus

Basim I. Asmar, MD

Department of Pediatrics, Wayne State University, School of Medicine, Division of Infectious Diseases, Children's Hospital of Michigan, 3901 Beaubien Boulevard, Detroit, Michigan

Two neonates who presented with histories of poor feeding, irritability and noisy breathing had group B streptococcal (GBS) bacteremia and retropharyngeal cellulitis. One infant also had submandibular cellulitis. Retropharyngeal cellulitis has not been recognized as a manifestation of GBS disease. Evaluation of the upper airway should be part of the workup of any sick infant with noisy breathing and/or grunting. Retropharyngeal tissue enlargement may be an early indicator of GBS disease.


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