Spontaneous infection of cephalbematoma with recovery

Jacobson, Mark Z.; Lander, Herman B.

doi:10.1016/s0022-3476(60)80366-6

Cited by 7 publications

(3 citation statements)

References 4 publications

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“…O CH é uma coleção sanguínea localizada entre o periósteo e o osso do crânio 2,5,6,7,10,14,16,17,18 , sendo mais freqüente no osso parietal direito 2,4,8 . Ao contrário do hematoma subgaleal do recém-nascido, que tende a se expandir rapidamente, o CH se mantém localizado, limitado pelas suturas cranianas 5 .…”

Section: Discussionunclassified

“…O CH aparece como uma protuberância na cabeça da criança entre 24 e 72 horas após o parto 14,16,17 . O diagnóstico diferencial deve ser feito com caput succedaneum, afundamento craniano com hematoma subgaleal e com encefalocele occipital 6,7,8,16,17,18 . Nos exames radiográficos do CH, verifica-se uma tumoração formada por tecidos moles, podendo haver focos de calcificação, principalmente na base; não há defeito ósseo e observa-se limitação da massa tumoral pelas suturas cranianas 2,4,5,7,10,13,19 .…”

Section: Discussionunclassified

“…Essa calcificação pode causar uma deformidade na cabeça da criança 5,6,7,9,10,14,16,17,18 . Além da calcificação, outras complicações do CH são: anemia 4,12,13,16,17,18 , hiperbilirrubinemia 4,12,13 , fraturas cranianas 4,19 e infecção bacteriana 4,5,8,9,13 .…”

Section: Discussionunclassified

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Cefaloematoma calcificado: Considerações sobre cinco casos

Pereira¹,

Duarte²,

Andrade³

2004

Arq Bras Neurocir

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ResumoO cefaloematoma é o acúmulo de sangue entre o periósteo e o crânio. É uma condição comum em neonatos. Tem evolução benigna na maioria dos casos, podendo complicar-se ocasionalmente. Entre as complicações, temos o cefaloematoma calcificado, cujo tratamento é cirúrgico e com resultado excelente.Os autores apresentam cinco casos de cefaloematoma calcificado, quatro do sexo masculino e um feminino. Quatro haviam nascido de parto fórceps e o outro de parto normal. Radiografia simples de crânio demonstrou traço de fratura em dois e a tomografia computadorizada craniana apresentou cefaloematoma e presença de lesões associadas como fraturas e comprometimento de partes moles adjacentes. O tratamento cirúrgico foi instituído em todos os casos e com resultados cosméticos excelentes.

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Section: Discussionunclassified

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Cefaloematoma calcificado: Considerações sobre cinco casos

Pereira¹,

Duarte²,

Andrade³

2004

Arq Bras Neurocir

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

Levy¹,

O’Connor²,

Ingall³

1967

Arch Pediatr Adolesc Med

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Cephalhematoma Infected With Bacteroides

Lee¹,

Berg²

1971

Arch Pediatr Adolesc Med

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The first case of a newborn infant with a cephalhematoma infected by a species of Bacteroides is presented. Previously reported cases of infected cephalhematomata are reviewed and Bacteroides infections in children are discussed.Cephal hematoma in the newborn infant results from an accumula¬ tion of blood between the bone and periosteum. The reported incidence varies from 0.4% to 2.5%.'·2 Cephalhematomas are more frequent in male than female subjects by a ratio of 3:2; in 70% of cases the mothers are primiparous, and the lesion oc¬ curs more commonly over the right than the left parietal bone.1 Cephal¬ hematoma is generally a benign con¬ dition and usually resorbs in a few weeks, although the characteristic crater ring may persist for much longer periods both on physical ex¬ amination and roentgenogram. Bac¬ terial infection of a cephalhematoma is rare. In this paper such infections are reviewed and a case of a cephal¬ hematoma infected with a species of Bacteroides is described. It would ap¬ pear that this is the first reported in¬ stance of a cephalhematoma infected by this organism.A male infant weighing 3,122 gm (6 lb 14 oz) was born at term to a 28-year-old primigrávida following a normal preg¬ nancy and an eight-hour labor. The infant was delivered vaginally under local anes¬ thesia following rotation from a left occi¬ put transverse position to a right occiput anterior position by low forceps. Apgar scores were 8 and 9 at one and five min¬ utes, respectively.On initial examination the infant was vigorous. The only pertinent finding was a 10x8 cm right parietal cephalhematoma. The huge mass was well demarcated, tense, and nonpulsatile. Skull roentgen¬ ograms revealed no fractures. The infant seemed well until the fifth day, when jaundice was noted and the total serum bilirubin level was 17.4 mg/100 cc, of which 1.1 mg was conjugated. The mater¬ nal and infant blood types were Rh posi¬ tive. Direct Coombs' test was negative.He was afebrile and showed no clinical evidence of sepsis. Fluorescent photother¬ apy was started, and jaundice gradually disappeared. The size of the cephalhema¬ toma did not increase significantly, but the mass became somewhat tense and the overlying skin became shiny and lustrous.There was no scalp infection. On the tenth day his temperature rose to 101.8 F (38.6 C); he vomited three times and appeared somewhat irritable, but remained vigor¬ ous with a good sucking reflex. The he¬ matocrit reading, white blood cell count, and differential were normal. About 75 cc of bloody fluid was aspirated from the cephalhematoma for diagnostic purposes and to prevent ischemie necrosis of either the overlying scalp or underlying bone. Following the aspiration, vomiting ceased and the infant became afebrile and less irritable. The aspirate grew a pure culture of a species of Bacteroides. Because of the unusual type of organism, a second aspi¬ ration was performed on the 12th day, and that aspirate also grew a pure culture of Bacteroides; on the same day he was treated with kanamycin sulfate and aqueo...

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Spontaneous infection of cephalbematoma with recovery

Cited by 7 publications

References 4 publications

Cefaloematoma calcificado: Considerações sobre cinco casos

Cefaloematoma calcificado: Considerações sobre cinco casos

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

Cephalhematoma Infected With Bacteroides

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