Omphalitis: Difference between revisions
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*acute infection of umbilical stump | *acute infection of umbilical stump | ||
*rare | *rare | ||
*can progress to severe [[cellulitis]] of abdominal wall, [[necrotizing | *can progress to severe [[cellulitis]] of abdominal wall, [[necrotizing fasciitis]], [[sepsis]] | ||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 07:04, 30 August 2015
Background
- acute infection of umbilical stump
- rare
- can progress to severe cellulitis of abdominal wall, necrotizing fasciitis, sepsis
Clinical Features
- erythema of skin around umbilical stump
- purulent drainage
- fever
Differential Diagnosis
Diagnosis
- CBC, BMP
- blood cultures
- septic workup if febrile neonate (UA, CXR, LP)
- imaging (ultrasound or CT) as indicated
Treatment
- IV fluids NS 20mL/kg bolus if ill appearing
- Antibiotics
- Surgical consultation as indicated
Disposition
- Admit if febrile or ill appearing
- consider d/c if very mild case and excellent follow-up assured
References
Harwood Nuss, EMedicine