Resident, Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Associate Professor, Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Trop Doct. 2024 Oct;54(4):377-379. doi: 10.1177/00494755241257557. Epub 2024 Jun 5.
We discuss an illustrative case of infected scalp abscess with osteomyelitis following a cephalhaematoma in a 19-day-old neonate. Cephalhaematoma is a common occurrence in neonates after prolonged labour, instrument-assisted, and traumatic deliveries and resolves spontaneously in the majority of cases. Infection may follow haematogenous dissemination or direct inoculation via a skin breach. Complications such as scalp abscess, sepsis, and osteomyelitis of the skull present with local signs, including increasing size, local erythema and tenderness, and fluctuant swelling.
我们讨论了一例 19 天大的新生儿在头颅血肿后发生感染性头皮脓肿伴骨髓炎的病例。头颅血肿在产程延长、器械辅助和创伤性分娩的新生儿中很常见，大多数情况下会自行消退。感染可能通过血行播散或通过皮肤破裂直接接种。头皮脓肿、败血症和颅骨骨髓炎等并发症表现为局部症状，包括肿块增大、局部红斑和触痛以及波动性肿胀。
