Wiley J F, Sugarman J M, Bell L M
Department of Emergency Medicine, Children's Hospital of Philadelphia, Pennsylvania 19104.
Ann Emerg Med. 1989 Jul;18(7):785-7. doi: 10.1016/s0196-0644(89)80021-6.
We report a case of subgaleal abscess formation in a 16-year-old boy with varicella and minor head trauma. He presented four weeks after injury with left-sided scalp swelling and periorbital edema. There was no break in the skin over the involved area. Diagnosis was made on the basis of prolonged swelling, an elevated erythrocyte sedimentation rate, and computed tomography that showed a subgaleal fluid collection. Aspirated material grew Group A beta-hemolytic Streptococcus. Subgaleal abscess formation without an overlying wound is previously unreported. Management of subgaleal abscess usually requires operative debridement and IV antibiotics. However, in our patient, needle aspiration and oral antibiotics sufficed.
我们报告一例16岁患水痘且有轻微头部外伤的男孩发生帽状腱膜下脓肿的病例。他在受伤四周后出现左侧头皮肿胀和眶周水肿。受累区域皮肤无破损。根据肿胀持续时间延长、红细胞沉降率升高以及计算机断层扫描显示帽状腱膜下有液体积聚做出诊断。抽吸物培养出A组β溶血性链球菌。此前未见无覆盖伤口的帽状腱膜下脓肿形成的报道。帽状腱膜下脓肿的治疗通常需要手术清创和静脉使用抗生素。然而，在我们的患者中，针吸和口服抗生素就足够了。
