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Osteomyelitis Complicating Neonatal Cephalhematoma

Osteomyelitis Complicating Neonatal Cephalhematoma Abstract Cephalhematomas are usually uncomplicated and of little clinical importance. When infection occurs, osteomyelitis of the underlying bone may ensue. The progression of clinical and roentgenographic events in our patient represent an instance of infected cephalhematoma associated with neonatal sepsis and complicated by osteomyelitis. Treatment with antibiotics alone did not eradicate the infection. Recovery followed adequate treatment by incision and drainage in addition to appropriate antibiotic therapy for four weeks. References 1. Ingram MD Jr, Hamilton WM: Cephalhematoma in the newborn . Radiology 50:503-507, 1950.Crossref 2. Kendall N, Woloshin H: Cephalhematoma associated with fracture of the skull . J Pediatr 41:125-132, 1952.Crossref 3. Schaffer AJ, Avery ME: Disease of the Newborn . Philadelphia, WB Saunders Co, 1971, p 583. 4. Green WT, Shannon JG: Osteomyelitis of infants . Arch Surg 32:462-493, 1936.Crossref 5. Clarke AM: Neonatal osteomyelitis: A disease different from osteomyelitis of older children . Med J Aust 1:237-239, 1958. 6. Self EB: Acute hematogenous osteomyelitis . Pediatrics 1:617-626, 1948. 7. Dennison WM, MacPherson DA: Hematogenous osteitis of infancy . Arch Dis Child 27:375-381, 1952.Crossref 8. Thomson J, Lewis IC: Osteomyelitis in the newborn . Arch Dis Child 25:273-279, 1950.Crossref 9. Green M, Nyhan WL, Fousek MD: Acute hematogenous osteomyelitis . Pediatrics 17:368-381, 1956. 10. Munro D: Nontraumatic osteomyelitis of the flat bones of the skull . South Surg Trans 43:403-425, 1930. 11. Waldvogel FA, Medoff G, Swartz MN: Osteomyelitis: A review of clinical features, therapeutic considerations and unusual aspects . N Engl J Med 282:260-266, 1970.Crossref 12. Levy HL, O'Connor JF, Ingall D: Bacteremia, infected cephalhematoma and osteomyelitis of the skull in a newborn . Am J Dis Child 114:649-651, 1967. 13. Underwood M: Treatise on the Diseases of Children , ed 6. Philadelphia, James Webster, 1818, p 66. 14. Fischer L: Diseases of Infancy and Childhood . Philadelphia, FA Davis Co, 1907, pp 57-58. 15. Sjövall A: Le cephalhematome des nouveau-nes . Acta Obstet Gynecol Scand 15:443-474, 1936.Crossref 16. Reddin JL, Ure W, Yow EM: Relationship between age of experimentally produced infected hematomas in rabbits and the survival of antibiotic-sensitive bacterial persisters . Clin Res 9:25, 1961. 17. Ure W, Reddin JL, Yow EM: Antibiotic-bacterial contact as a factor in persistence of antibiotic-sensitive staphylococci during treatment of infected hematomas in rabbits . Clin Res 9:25, 1961. 18. Burry VF, Hellerstein S: Septicemia and subperiosteal cephalhematomas . J Pediatr 69:1133-1135, 1966.Crossref 19. Caffey J: Pediatric X-ray Diagnosis . Chicago, Yearbook Medical Publishers Inc, 1967, pp 55-61. 20. Newton TH, Potts DG, editors: Radiology of the Skull and Brain—The Skull . St. Louis, CB Mosby Co, 1971, pp 813-816. 21. Lee Y, Berg RB: Cephalhematoma infected with bacteroides . Am J Dis Child 121:77-78, 1971. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Osteomyelitis Complicating Neonatal Cephalhematoma

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References (23)

Publisher
American Medical Association
Copyright
Copyright © 1974 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1974.02110200102015
Publisher site
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Abstract

Abstract Cephalhematomas are usually uncomplicated and of little clinical importance. When infection occurs, osteomyelitis of the underlying bone may ensue. The progression of clinical and roentgenographic events in our patient represent an instance of infected cephalhematoma associated with neonatal sepsis and complicated by osteomyelitis. Treatment with antibiotics alone did not eradicate the infection. Recovery followed adequate treatment by incision and drainage in addition to appropriate antibiotic therapy for four weeks. References 1. Ingram MD Jr, Hamilton WM: Cephalhematoma in the newborn . Radiology 50:503-507, 1950.Crossref 2. Kendall N, Woloshin H: Cephalhematoma associated with fracture of the skull . J Pediatr 41:125-132, 1952.Crossref 3. Schaffer AJ, Avery ME: Disease of the Newborn . Philadelphia, WB Saunders Co, 1971, p 583. 4. Green WT, Shannon JG: Osteomyelitis of infants . Arch Surg 32:462-493, 1936.Crossref 5. Clarke AM: Neonatal osteomyelitis: A disease different from osteomyelitis of older children . Med J Aust 1:237-239, 1958. 6. Self EB: Acute hematogenous osteomyelitis . Pediatrics 1:617-626, 1948. 7. Dennison WM, MacPherson DA: Hematogenous osteitis of infancy . Arch Dis Child 27:375-381, 1952.Crossref 8. Thomson J, Lewis IC: Osteomyelitis in the newborn . Arch Dis Child 25:273-279, 1950.Crossref 9. Green M, Nyhan WL, Fousek MD: Acute hematogenous osteomyelitis . Pediatrics 17:368-381, 1956. 10. Munro D: Nontraumatic osteomyelitis of the flat bones of the skull . South Surg Trans 43:403-425, 1930. 11. Waldvogel FA, Medoff G, Swartz MN: Osteomyelitis: A review of clinical features, therapeutic considerations and unusual aspects . N Engl J Med 282:260-266, 1970.Crossref 12. Levy HL, O'Connor JF, Ingall D: Bacteremia, infected cephalhematoma and osteomyelitis of the skull in a newborn . Am J Dis Child 114:649-651, 1967. 13. Underwood M: Treatise on the Diseases of Children , ed 6. Philadelphia, James Webster, 1818, p 66. 14. Fischer L: Diseases of Infancy and Childhood . Philadelphia, FA Davis Co, 1907, pp 57-58. 15. Sjövall A: Le cephalhematome des nouveau-nes . Acta Obstet Gynecol Scand 15:443-474, 1936.Crossref 16. Reddin JL, Ure W, Yow EM: Relationship between age of experimentally produced infected hematomas in rabbits and the survival of antibiotic-sensitive bacterial persisters . Clin Res 9:25, 1961. 17. Ure W, Reddin JL, Yow EM: Antibiotic-bacterial contact as a factor in persistence of antibiotic-sensitive staphylococci during treatment of infected hematomas in rabbits . Clin Res 9:25, 1961. 18. Burry VF, Hellerstein S: Septicemia and subperiosteal cephalhematomas . J Pediatr 69:1133-1135, 1966.Crossref 19. Caffey J: Pediatric X-ray Diagnosis . Chicago, Yearbook Medical Publishers Inc, 1967, pp 55-61. 20. Newton TH, Potts DG, editors: Radiology of the Skull and Brain—The Skull . St. Louis, CB Mosby Co, 1971, pp 813-816. 21. Lee Y, Berg RB: Cephalhematoma infected with bacteroides . Am J Dis Child 121:77-78, 1971.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Jan 1, 1974

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