Miedema C J, Ruige M, Kimpen J L
Wilhelmina Children's Hospital, University Hospital Utrecht, PB 18009, 3501 CA Utrecht, The Netherlands.
Eur J Med Res. 1999 Jan 26;4(1):8-10.
Cephalhematomas are subperiosteal blood collections occurring in newborns secondary to trauma at birth. They develop within a few days and are subsequently resorbed. Infection of a cephalhematoma is unusual and caused most often by colonization of the hematoma during bacteremia or by direct inoculation secondary to trauma. Less than 10 patients with primary infection of the hematoma, in the absence of a positive blood culture, complicated by osteomyelitis have been described. We report a newborn with a primarily infected cephalhematoma complicated by parietal bone osteomyelitis.
头颅血肿是新生儿出生时因外伤继发的骨膜下血肿。它们在出生后几天内形成,随后被吸收。头颅血肿感染并不常见,最常见的原因是菌血症期间血肿被细菌定植或外伤后直接接种。在血培养阴性的情况下,仅有不到10例原发性血肿感染并发骨髓炎的患者被报道。我们报告了一名原发性感染的头颅血肿并发顶骨骨髓炎的新生儿。