Omphalitis: Difference between revisions
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<translate> | |||
==Background== | ==Background== | ||
* | |||
* | *Acute infection of umbilical stump | ||
*Rare | |||
==Clinical Features== | ==Clinical Features== | ||
* | |||
* | *Erythema of skin around umbilical stump | ||
* | *Purulent drainage | ||
*[[Special:MyLanguage/Fever|Fever]] | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
== | *[[Special:MyLanguage/Cellulitis|Cellulitis]] of abdominal wall | ||
*[[Special:MyLanguage/Necrotizing fasciitis|Necrotizing fasciitis]] | |||
*[[Special:MyLanguage/Neonatal sepsis|Neonatal sepsis]] | |||
</translate> | |||
{{Neonatal rashes DDX}} | |||
<translate> | |||
==Evaluation== | |||
*CBC, BMP | *CBC, BMP | ||
* | *Blood cultures | ||
* | *Septic workup if febrile neonate ([[Special:MyLanguage/UA|UA]], [[Special:MyLanguage/CXR|CXR]], [[Special:MyLanguage/LP|LP]]) | ||
* | *Imaging (ultrasound or CT) as indicated | ||
==Management== | |||
*IV fluids NS 20mL/kg bolus if ill appearing | *IV fluids NS 20mL/kg bolus if ill appearing | ||
*[[Antibiotics]] | *[[Special:MyLanguage/Antibiotics|Antibiotics]] | ||
**[[Gentamycin]] | **[[Special:MyLanguage/Gentamycin|Gentamycin]] | ||
**[[Ampicillin]] | **[[Special:MyLanguage/Ampicillin|Ampicillin]] | ||
**[[Vancomycin]] | **[[Special:MyLanguage/Vancomycin|Vancomycin]] | ||
**Consider [[Special:MyLanguage/clindamycin|clindamycin]] or [[Special:MyLanguage/metronidazole|metronidazole]] if concern for [[Special:MyLanguage/anaerobes|anaerobes]] | |||
*Surgical consultation as indicated | *Surgical consultation as indicated | ||
==Disposition== | |||
==Disposition== | |||
*Admit if febrile or ill appearing | *Admit if febrile or ill appearing | ||
*Consider discharge if very mild case and excellent follow-up assured | *Consider discharge if very mild case and excellent follow-up assured | ||
==References== | ==References== | ||
Harwood Nuss, EMedicine | Harwood Nuss, EMedicine | ||
[[Category: | [[Category:Pediatrics]] | ||
[[Category:GI]] | [[Category:GI]] | ||
[[Category:ID]] | |||
</translate> | |||
Latest revision as of 23:49, 4 January 2026
Background
- Acute infection of umbilical stump
- Rare
Clinical Features
- Erythema of skin around umbilical stump
- Purulent drainage
- Fever
Differential Diagnosis
- Cellulitis of abdominal wall
- Necrotizing fasciitis
- Neonatal sepsis
Neonatal Rashes
- Acne
- Atopic dermatitis
- Candidiasis
- Contact dermatitis
- Diaper dermatitis
- Erythema toxicum neonatorum
- Impetigo
- Mastitis
- Milia
- Miliaria
- Mongolian spots
- Omphalitis
- Perianal streptococcal dermatitis
- Psoriasis
- Pustular melanosis
- Seborrheic dermatitis
- Sucking blisters
- Tinea capitis
Evaluation
- CBC, BMP
- Blood cultures
- Septic workup if febrile neonate (UA, CXR, LP)
- Imaging (ultrasound or CT) as indicated
Management
- IV fluids NS 20mL/kg bolus if ill appearing
- Antibiotics
- Gentamycin
- Ampicillin
- Vancomycin
- Consider clindamycin or metronidazole if concern for anaerobes
- Surgical consultation as indicated
Disposition
- Admit if febrile or ill appearing
- Consider discharge if very mild case and excellent follow-up assured
References
Harwood Nuss, EMedicine