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Division of Emergency Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA 19104-4399, USA. manojmital@yahoo.com
Cellulitis in an infant younger than 3 months is most commonly caused by group B streptococci (GBS). A baby with cellulitis in this age group should have a full septic workup including blood and cerebrospinal fluid cultures, as GBS cellulitis may be associated with bacteremia. We discuss a 6-week-old baby with cellulitis and meningitis to illustrate the potential complexity of this infectious disease process. We also present a concise review of GBS cellulitis and of meningitis with initially normal cerebrospinal fluid analysis.
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