Bacteremia, Infected Cephalhematoma, and Osteomyelitis of the Skull in a Newborn

Levy, Harvey L.; O’Connor, John F.; Ingall, David

doi:10.1001/archpedi.1967.02090270105012

Cited by 12 publications

(11 citation statements)

References 13 publications

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“…Late presentation is characterised by the development cellulitis over the involved area. [7][8][9][10] In the present case, it is not clear whether the infected cephalhaematoma caused the systemic sepsis or was the result of preceding bacteraemia.…”

Section: Discussioncontrasting

confidence: 54%

MRI features of an infected cephalhaematoma in a neonate

Chen¹,

Jiao²,

Huang³

et al. 2006

Journal of Clinical Neuroscience

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Section: Discussioncontrasting

confidence: 54%

MRI features of an infected cephalhaematoma in a neonate

Chen¹,

Jiao²,

Huang³

et al. 2006

Journal of Clinical Neuroscience

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“…The causative bacteria are predominately gram negative rods, especially E. coli [8]. The overall mortality rate remains high and which is related to the delayed diagnosis of meningitis and lack of surgical drainage [3,5,[8][9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Huge Infected Cephalohematoma Associated with Meningitis: A Case Report

Ma¹

2017

Int J Pediatr Neonat Care

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Infected cephalohematoma associated with meningitis is rare in neonatal period. Herein we report a neonate with huge infected cephalohematoma associated with meningitis, which was caused by Escherichia coli. With intravenous antibiotic therapy and surgical drainage of the infected cephalohematoma, he became afebrile soon. Intravenous ceftriaxone therapy was continued for 21 days and no sequela was reported. It is suggested that meningitis should be considered in neonates with infected cephalohematoma.

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“…[1][2][3][4]6,7,9,10,[12][13][14][15][16][17][18][19][20][21][23][24][25][26][27][28][29] e majority of cases 52% (n = 30) had one or more concurrent infections, [1][2][3][4]6,7,12,13,15,17,18,21,24,25,27,28] while 48% (n = 28) did not have any. [1,3,9,10,14,16,19,20,23,26,29] E. coli was the most common organism isolated (n = 32; 55%),…”

Section: Literature Reviewmentioning

confidence: 99%

Cephalohematomas, an occult nidus for infection and inflammation: A case report and review of the literature

Tsiang

Mackey

et al. 2023

Surgical Neurology International

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Background: Cephalohematomas (CH) are benign neonatal fluid collections that arise between the periosteum and skull due to birth trauma, and usually resolve spontaneously without intervention. CH may rarely become infected. Case Description: The authors report a case of sterile CH requiring surgical evacuation in a persistently febrile neonate treated with intravenous (IV) antibiotics for Escherichia coli urosepsis. Diagnostic tap of the CH yielded no pathogens, but given the persistence of fevers, surgical evacuation was performed. The patient demonstrated clinical improvement postoperatively. Conclusion: A systematic review of literature was conducted through a MEDLINE search using the keyword “cephalohematoma.” Articles were screened for cases of infected CH and their subsequent management. Clinicopathological characteristics and outcomes of the present case were reviewed and compared to those in the literature. Infected CH were reported in 25 articles describing 58 patients. Common pathogens included E. coli and Staphylococcal species. Treatment included a course of IV antibiotics (10 days–6 weeks) and often included percutaneous aspiration (n = 47) for diagnostic and therapeutic purposes. Surgical evacuation was performed in 23 cases. To the authors’ knowledge, the present case is the first documented report in which evacuation of a culture-negative CH resulted in resolution of the patient’s clinical symptoms of sepsis that persisted despite appropriate antibiotic treatment. This suggests that patients with CH should be evaluated through diagnostic tap of the collection if there are signs of local or persistent systemic infection. Surgical evacuation may be indicated if percutaneous aspiration does not result in clinical improvement.

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Bacteremia, Infected Cephalhematoma, and Osteomyelitis of the Skull in a Newborn

Cited by 12 publications

References 13 publications

MRI features of an infected cephalhaematoma in a neonate

MRI features of an infected cephalhaematoma in a neonate

Huge Infected Cephalohematoma Associated with Meningitis: A Case Report

Cephalohematomas, an occult nidus for infection and inflammation: A case report and review of the literature

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