Title: Abdominal Wall Necrotizing Fasciitis in a Preemie: A Case Report of a Fulminant Course

Necrotizing fasciitis (NF), a rapidly progressive soft‐tissue infection characterized by extensive tissue necrosis, is a fulminant condition that, if not treated promptly, can become fatal. Predominantly a disease of adulthood, its occurrence in the pediatric and neonatal populations is rare. We report a case of a preterm newborn who developed NF of the abdominal wall due to the rare etiology of invasive Klebsiella pneumoniae in the setting of culture‐proven sepsis secondary to ventilator‐associated pneumonia. This case highlights the challenges of early recognition and management in unstable preterm neonates with rapidly progressive infections, in whom a fatal outcome could not be avoided despite timely and intensive management efforts.