Infected cephalohematoma of newborns: Experience in a medical center in Taiwan

Abstract

Clinicians should be aware that cephalohematoma is a potential site of infection. The incidence of associated system infection is high and may result in mortality. Appropriate diagnostic and therapeutic measures should be undertaken promptly if there are infectious signs.

Late onset subgaleal hemorrhage infection with Streptococcus pneumoniae?

“…Infected cephalohematomas have previously been described in several reports [3,5]. However, in the literature, only three cases of infected SGH were found, and all were diagnosed in the neonatal period.…”

“…As infected SGH is rare, antibiotic treatment and duration have not been well documented. The initial empiric antibiotic treatment should cover a wide range of most probable pathogens, and combination of a third generation cephalosporin with metronidazol could be proposed [3]. Guided by the culture and susceptibility testing, antibiotic regimen can be switched.…”

Newborn with spontaneous rupture of an infected cephalohematorma

“…If an underlying osteomyelitis or abscess is present then surgical debridement is needed. 7 Antibiotics can be narrowed once cultures have grown an organism. However, the majority of these patients require extended courses of antibiotics especially in cases of meningitis.…”

Spontaneous Infection of a Cephalohematoma Associated With Sepsis: A Case Report and Revision of the Literature

“…When Staphylococcus aureus is the bacteriaresponsible for the infection, Vancomicin therapy should be started and continued for four weeks or more. Once diagnosed, if there is no spontaneous drainage, the infected cepahlohematoma should be incised and drained and, if underlying osteomyelitis or epidural abscess are found, surgical debridement should be performed (14)(15)(16)(17).…”