Parvaresh Saeedeh, Jafari Maedeh, Eslami Shahryar, Karami Robati Fatemeh, Jafari Mohammad Ali
Department of Pediatrics School of Medicine, Kerman University of Medical Sciences Kerman Iran.
Clinical Research Development Unit Afzalipour Hospital, Kerman University of Medical Sciences Kerman Iran.
Clin Case Rep. 2025 Aug 4;13(8):e70703. doi: 10.1002/ccr3.70703. eCollection 2025 Aug.
Cephalohematoma is a self-limiting lesion in 1%-2% of neonates. Cephalohematoma bleeds between the bone and periosteum and is limited to cranial sutures. Complications of the cephalohematoma include hyperbilirubinemia and secondary infection. We describe a neonate with cephalohematoma cultures positive for as well as progressive deepening of the skull. There was no evidence of systemic infection, such as sepsis, meningitis, or osteomyelitis. In the ultrasound and brain MRI, the abscess was restricted to the scalp without involvement of the brain parenchyma and osteomyelitis of the bone. After a short period of intravenous antibiotics and drainage of the abscess, the patient was discharged from the hospital. To our knowledge, this is the first report of cephalohematoma infected with and skull abscess.
头颅血肿在1% - 2%的新生儿中是一种自限性病变。头颅血肿发生在颅骨和骨膜之间，且局限于颅缝。头颅血肿的并发症包括高胆红素血症和继发感染。我们描述了一名头颅血肿培养物呈阳性且颅骨逐渐加深的新生儿。没有全身感染的证据，如败血症、脑膜炎或骨髓炎。在超声和脑部MRI检查中，脓肿局限于头皮，未累及脑实质和颅骨骨髓炎。经过短期静脉使用抗生素和脓肿引流后，患者出院。据我们所知，这是首例头颅血肿感染[具体病菌未提及]并形成颅骨脓肿的报告。
