Spontaneously Infected Cephalohematoma: Case Report and Review of the Literature

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

“…The most common pathogens in the present series were E. coli and S. aureus , as has been noted elsewhere 9,10 . Our study found that the incidence of the former was increasing and was more frequently associated with other infections.…”

“…Two‐thirds of the present patients did not have other associated infections, a condition some authors have called spontaneous or primary infected cephalohematoma 9,15 . However, controversy exists about the relationship between an infected cephalohematoma and other infections.…”

“…Typically, such infections require 4–6 weeks of i.v. antibiotic treatment, and surgical debridement is often needed 8,9 .…”

“…Untreated infected cephalohematoma may lead to osteomyelitis, epidural abscess, or subdural empyema 6–8 . Only a limited number of cases of infected cephalohematoma have been reported 9,10 . Therefore, we reviewed the charts of newborns with infected cephalohematoma at Taipei Mackay Memorial Hospital over the past 26 years to clarify the clinical description of this disease.…”

Lumps and Bumps on the Head in Children: Use of CT and MR Imaging in Solving the Clinical Diagnostic Dilemma

“…Resolution usually occurs without treatment by a few weeks to 3-4 months of age. Although cephalohematomas are not usually of clinical significance, they may present a challenge for the clinician because they occasionally become infected, requiring drainage and antibiotic therapy (72,73). At CT and MR imaging, acute cephalohematomas appear as crescent-shaped lesions adjacent to the outer table of the skull (Fig 24).…”