A case of adrenal and cephalhematoma abscesses caused by <i>Escherichia coli</i> after forceps delivery

Nishi, Junichiro; Kaji, Tatsuru; Tokuda, Koichi; Okawa, Toshiya; Noguchi, Hiroyuki; Takamatsu, Hideo; Yoshinaga, Masao

doi:10.1111/j.1442-200x.2005.02098.x

Cited by 5 publications

(7 citation statements)

References 8 publications

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“…[3] Surgical I&D of infected CH is recommended if insufficient material is able to be aspirated, or in situations of extensive scalp necrosis and abscess formation. [1,2,4,6,7,10,12,[14][15][16][17][18][19][20][21]23,25,[27][28][29] A course of IV antibiotics (1-6 weeks) is indicated, with optimal duration depending on the presence of other concurrent infections. [3] e presented case makes a unique contribution to the body of literature because this patient's CH did not demonstrate evidence of infection on any diagnostic modality.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4]6,7,9,10,[12][13][14][15][16][17][18][19][20][21][23][24][25][26][27][28][29] e majority of cases 52% (n = 30) had one or more concurrent infections, [1][2][3][4]6,7,12,13,15,17,18,21,24,25,27,28] while 48% (n = 28) did not have any. [1,3,9,10,14,16,19,20,23,26,29] E. coli was the most common organism isolated (n = 32; 55%),…”

Section: Literature Reviewmentioning

confidence: 99%

“…e majority were treated with needle aspiration alone (n = 34/58). [1][2][3]24,26] Surgical I&D was performed in 23 cases, [1,2,4,6,7,10,12,[14][15][16][17][18][19][20][21]23,25,[27][28][29] sometimes after needle aspiration (n = 13). One case was successfully treated with IV antibiotics alone.…”

Section: Literature Reviewmentioning

confidence: 99%

“…This resulted in 25 publications, documenting 58 cases [ Table 2 ]. [ 1 - 4 , 6 , 7 , 9 , 10 , 12 - 21 , 23 - 29 ]…”

Section: Case Descriptionmentioning

confidence: 99%

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Cephalohematomas, an occult nidus for infection and inflammation: A case report and review of the literature

Tsiang

Mackey

et al. 2023

Surgical Neurology International

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Background: Cephalohematomas (CH) are benign neonatal fluid collections that arise between the periosteum and skull due to birth trauma, and usually resolve spontaneously without intervention. CH may rarely become infected. Case Description: The authors report a case of sterile CH requiring surgical evacuation in a persistently febrile neonate treated with intravenous (IV) antibiotics for Escherichia coli urosepsis. Diagnostic tap of the CH yielded no pathogens, but given the persistence of fevers, surgical evacuation was performed. The patient demonstrated clinical improvement postoperatively. Conclusion: A systematic review of literature was conducted through a MEDLINE search using the keyword “cephalohematoma.” Articles were screened for cases of infected CH and their subsequent management. Clinicopathological characteristics and outcomes of the present case were reviewed and compared to those in the literature. Infected CH were reported in 25 articles describing 58 patients. Common pathogens included E. coli and Staphylococcal species. Treatment included a course of IV antibiotics (10 days–6 weeks) and often included percutaneous aspiration (n = 47) for diagnostic and therapeutic purposes. Surgical evacuation was performed in 23 cases. To the authors’ knowledge, the present case is the first documented report in which evacuation of a culture-negative CH resulted in resolution of the patient’s clinical symptoms of sepsis that persisted despite appropriate antibiotic treatment. This suggests that patients with CH should be evaluated through diagnostic tap of the collection if there are signs of local or persistent systemic infection. Surgical evacuation may be indicated if percutaneous aspiration does not result in clinical improvement.

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Section: Discussionmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

“…This resulted in 25 publications, documenting 58 cases [ Table 2 ]. [ 1 - 4 , 6 , 7 , 9 , 10 , 12 - 21 , 23 - 29 ]…”

Section: Case Descriptionmentioning

confidence: 99%

See 2 more Smart Citations

Cephalohematomas, an occult nidus for infection and inflammation: A case report and review of the literature

Tsiang

Mackey

et al. 2023

Surgical Neurology International

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“…Adrenal abscess is an extremely rare disease in the neonatal period. To date, less than 40 cases have been described in the literature [5]. The cause of abscess formation is not precisely known, but two theories currently exist.…”

Section: Case 3 Discussionmentioning

confidence: 99%