Infected cephalohematoma of newborns: Experience in a medical center in Taiwan

Background : The objective of the present retrospective study was to clarify the clinical course, major pathogens, and other infections associated with infected cephalohematoma. Methods : From January 1978 to December 2003, records of all newborns were reviewed for evidence of an infected cephalohem...

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Veröffentlicht in:Pediatrics international 2005-06, Vol.47 (3), p.274-277
Hauptverfasser: Chang, Hung-Yang, Chiu, Nan-Chang, Huang, Fu-Yuan, Kao, Hsin-An, Hsu, Chyong-Hsin, Hung, Han-Yang
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container_end_page 277
container_issue 3
container_start_page 274
container_title Pediatrics international
container_volume 47
creator Chang, Hung-Yang
Chiu, Nan-Chang
Huang, Fu-Yuan
Kao, Hsin-An
Hsu, Chyong-Hsin
Hung, Han-Yang
description Background : The objective of the present retrospective study was to clarify the clinical course, major pathogens, and other infections associated with infected cephalohematoma. Methods : From January 1978 to December 2003, records of all newborns were reviewed for evidence of an infected cephalohematoma, based either on local signs of infection or a diagnostic tap that yielded pus. Patients were divided into two groups: those seen in the early period (1978–1990) and in the late period (1991–2003). Results : Twenty‐eight newborns with infected cephalohematoma were identified, 14 each in the early and late periods. The mean age at onset was 17.8 ± 13.9 days. The most common local findings were erythema (79%), increasing size of the hematoma (68%), and a fluctuant mass (46%), while fever (64%), poor appetite (39%) and irritability (18%) were the common systemic signs. Common laboratory findings included leukocytosis (82%) and an elevated C‐reactive protein (61%). Escherichia coli was the most common pathogen (16 patients, 57%) and was isolated significantly more frequently in the late period (early period: 36%, late period: 79%, P 
doi_str_mv 10.1111/j.1442-200x.2005.02062.x
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Methods : From January 1978 to December 2003, records of all newborns were reviewed for evidence of an infected cephalohematoma, based either on local signs of infection or a diagnostic tap that yielded pus. Patients were divided into two groups: those seen in the early period (1978–1990) and in the late period (1991–2003). Results : Twenty‐eight newborns with infected cephalohematoma were identified, 14 each in the early and late periods. The mean age at onset was 17.8 ± 13.9 days. The most common local findings were erythema (79%), increasing size of the hematoma (68%), and a fluctuant mass (46%), while fever (64%), poor appetite (39%) and irritability (18%) were the common systemic signs. Common laboratory findings included leukocytosis (82%) and an elevated C‐reactive protein (61%). Escherichia coli was the most common pathogen (16 patients, 57%) and was isolated significantly more frequently in the late period (early period: 36%, late period: 79%, P &lt; 0.05). Staphylococcus aureus was the second common pathogen (five patients, 18%). Ten patients (36%) had other associated infection: eight had sepsis, three had meningitis, and one had osteomyelitis. In the early period three patients (11%) died. Conclusions : Clinicians should be aware that cephalohematoma is a potential site of infection. The incidence of associated system infection is high and may result in mortality. Appropriate diagnostic and therapeutic measures should be undertaken promptly if there are infectious signs.</description><identifier>ISSN: 1328-8067</identifier><identifier>EISSN: 1442-200X</identifier><identifier>DOI: 10.1111/j.1442-200x.2005.02062.x</identifier><identifier>PMID: 15910450</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Pty</publisher><subject>Babies ; cephalohematoma ; Cerebral Hemorrhage - complications ; Cerebral Hemorrhage - microbiology ; Escherichia coli ; Escherichia coli Infections - epidemiology ; Female ; Health facilities ; Hematoma - complications ; Hematoma - epidemiology ; Humans ; Infant, Newborn ; infection ; Infections ; Male ; newborn ; Parietal Bone ; Retrospective Studies ; Staphylococcal Infections - epidemiology ; Staphylococcus aureus ; Taiwan - epidemiology</subject><ispartof>Pediatrics international, 2005-06, Vol.47 (3), p.274-277</ispartof><rights>Copyright Blackwell Publishing Jun 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5162-127902682db7ca713dd903c464aa511baaa20ebae3db4581e27a546204b5d8c03</citedby><cites>FETCH-LOGICAL-c5162-127902682db7ca713dd903c464aa511baaa20ebae3db4581e27a546204b5d8c03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1442-200x.2005.02062.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1442-200x.2005.02062.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27907,27908,45557,45558</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15910450$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chang, Hung-Yang</creatorcontrib><creatorcontrib>Chiu, Nan-Chang</creatorcontrib><creatorcontrib>Huang, Fu-Yuan</creatorcontrib><creatorcontrib>Kao, Hsin-An</creatorcontrib><creatorcontrib>Hsu, Chyong-Hsin</creatorcontrib><creatorcontrib>Hung, Han-Yang</creatorcontrib><title>Infected cephalohematoma of newborns: Experience in a medical center in Taiwan</title><title>Pediatrics international</title><addtitle>Pediatr Int</addtitle><description>Background : The objective of the present retrospective study was to clarify the clinical course, major pathogens, and other infections associated with infected cephalohematoma. Methods : From January 1978 to December 2003, records of all newborns were reviewed for evidence of an infected cephalohematoma, based either on local signs of infection or a diagnostic tap that yielded pus. Patients were divided into two groups: those seen in the early period (1978–1990) and in the late period (1991–2003). Results : Twenty‐eight newborns with infected cephalohematoma were identified, 14 each in the early and late periods. The mean age at onset was 17.8 ± 13.9 days. The most common local findings were erythema (79%), increasing size of the hematoma (68%), and a fluctuant mass (46%), while fever (64%), poor appetite (39%) and irritability (18%) were the common systemic signs. Common laboratory findings included leukocytosis (82%) and an elevated C‐reactive protein (61%). Escherichia coli was the most common pathogen (16 patients, 57%) and was isolated significantly more frequently in the late period (early period: 36%, late period: 79%, P &lt; 0.05). Staphylococcus aureus was the second common pathogen (five patients, 18%). Ten patients (36%) had other associated infection: eight had sepsis, three had meningitis, and one had osteomyelitis. In the early period three patients (11%) died. Conclusions : Clinicians should be aware that cephalohematoma is a potential site of infection. The incidence of associated system infection is high and may result in mortality. Appropriate diagnostic and therapeutic measures should be undertaken promptly if there are infectious signs.</description><subject>Babies</subject><subject>cephalohematoma</subject><subject>Cerebral Hemorrhage - complications</subject><subject>Cerebral Hemorrhage - microbiology</subject><subject>Escherichia coli</subject><subject>Escherichia coli Infections - epidemiology</subject><subject>Female</subject><subject>Health facilities</subject><subject>Hematoma - complications</subject><subject>Hematoma - epidemiology</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>infection</subject><subject>Infections</subject><subject>Male</subject><subject>newborn</subject><subject>Parietal Bone</subject><subject>Retrospective Studies</subject><subject>Staphylococcal Infections - epidemiology</subject><subject>Staphylococcus aureus</subject><subject>Taiwan - epidemiology</subject><issn>1328-8067</issn><issn>1442-200X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1v1DAQhiNERUvhL6CIA7eEseOvReKAttsPaVU4FLE3a-LMqlnysdhZbfrvcdiFSlxaH8Yj-3lfaeZNkpRBzuL5uMmZEDzjAGMei8yBg-L5-CI5-_uxehn7gpvMgNKnyesQNgBgtBGvklMmZwyEhLPk9qZbkxuoSh1t77Hp76nFoW8x7ddpR_uy9134lC7GLfmaOkdp3aWYtlTVDpso6gby09sd1nvs3iQna2wCvT3e58n3y8Xd_Dpbfr26mX9ZZk4yxTPG9Qy4MrwqtUPNiqqaQeGEEoiSsRIROVCJVFSlkIYR1yiF4iBKWRkHxXny4eC79f2vHYXBtnVw1DTYUb8LVmmjCsH5kyCbaWVAFxF8_x-46Xe-i0NYzrgwkisZIXOAnO9D8LS2W1-36B8sAzslYzd2CsBOyUxF2j_J2DFK3x39d2Xc3qPwGEUEPh-Afd3Qw7ON7bfFxdRFfXbQ12Gg8Z8e_c-4jUJL--P2yq7msFxdzsFeF78Bfw6qUQ</recordid><startdate>200506</startdate><enddate>200506</enddate><creator>Chang, Hung-Yang</creator><creator>Chiu, Nan-Chang</creator><creator>Huang, Fu-Yuan</creator><creator>Kao, Hsin-An</creator><creator>Hsu, Chyong-Hsin</creator><creator>Hung, Han-Yang</creator><general>Blackwell Science Pty</general><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>200506</creationdate><title>Infected cephalohematoma of newborns: Experience in a medical center in Taiwan</title><author>Chang, Hung-Yang ; 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Methods : From January 1978 to December 2003, records of all newborns were reviewed for evidence of an infected cephalohematoma, based either on local signs of infection or a diagnostic tap that yielded pus. Patients were divided into two groups: those seen in the early period (1978–1990) and in the late period (1991–2003). Results : Twenty‐eight newborns with infected cephalohematoma were identified, 14 each in the early and late periods. The mean age at onset was 17.8 ± 13.9 days. The most common local findings were erythema (79%), increasing size of the hematoma (68%), and a fluctuant mass (46%), while fever (64%), poor appetite (39%) and irritability (18%) were the common systemic signs. Common laboratory findings included leukocytosis (82%) and an elevated C‐reactive protein (61%). Escherichia coli was the most common pathogen (16 patients, 57%) and was isolated significantly more frequently in the late period (early period: 36%, late period: 79%, P &lt; 0.05). Staphylococcus aureus was the second common pathogen (five patients, 18%). Ten patients (36%) had other associated infection: eight had sepsis, three had meningitis, and one had osteomyelitis. In the early period three patients (11%) died. Conclusions : Clinicians should be aware that cephalohematoma is a potential site of infection. The incidence of associated system infection is high and may result in mortality. Appropriate diagnostic and therapeutic measures should be undertaken promptly if there are infectious signs.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Pty</pub><pmid>15910450</pmid><doi>10.1111/j.1442-200x.2005.02062.x</doi><tpages>4</tpages></addata></record>
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subjects Babies
cephalohematoma
Cerebral Hemorrhage - complications
Cerebral Hemorrhage - microbiology
Escherichia coli
Escherichia coli Infections - epidemiology
Female
Health facilities
Hematoma - complications
Hematoma - epidemiology
Humans
Infant, Newborn
infection
Infections
Male
newborn
Parietal Bone
Retrospective Studies
Staphylococcal Infections - epidemiology
Staphylococcus aureus
Taiwan - epidemiology
title Infected cephalohematoma of newborns: Experience in a medical center in Taiwan
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