Escherichia coli-infected cephalohematoma in an infant

Cephalohaematoma: Not always a benign bump

“…In addition to monitoring for the development of neonatal jaundice, 1 a well‐recognised consequence, these case reports highlight the importance of assessing the progression of the cephalohaematoma itself. Cases of cephalohaematomas developing into significant subcutaneous infection with abscess formation have been described in the literature as early as 1818 2–7 . Out of nine case reports published between 1986 and 2018, the mean age at presentation was 30 days (range 5–98 days) and five cases had preceding skin trauma from fetal electrode placement or vacuum delivery 2,5,6 .…”

“…Cases of cephalohaematomas developing into significant subcutaneous infection with abscess formation have been described in the literature as early as 1818. [2][3][4][5][6][7] Out of nine case reports published between 1986 and 2018, the mean age at presentation was 30 days (range 5-98 days) and five cases had preceding skin trauma from fetal electrode placement or vacuum delivery. 2,5,6 The causative organisms include known vagina flora including group B streptococcal, E. coli, Escherichia hermannii, Bacteroides spp., Gardnerella spp., Staphylococci spp., Proteus mirabilis and Pseudomonas aeruginosa.…”

“…[2][3][4][5][6][7] Out of nine case reports published between 1986 and 2018, the mean age at presentation was 30 days (range 5-98 days) and five cases had preceding skin trauma from fetal electrode placement or vacuum delivery. 2,5,6 The causative organisms include known vagina flora including group B streptococcal, E. coli, Escherichia hermannii, Bacteroides spp., Gardnerella spp., Staphylococci spp., Proteus mirabilis and Pseudomonas aeruginosa.…”

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

“…[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%),…”

“…e majority were treated with needle aspiration alone (n = 34/58). [1][2][3]24,26] Surgical I&D was performed in 23 cases, [1,2,4,6,7,10,12,[14][15][16][17][18][19][20][21]23,25,[27][28][29] sometimes after needle aspiration (n = 13). One case was successfully treated with IV antibiotics alone.…”