Omphalitis: Difference between revisions

(Text replacement - "==Diagnosis==" to "==Evaluation==")
 
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==Background==
==Background==
*acute infection of umbilical stump  
*Acute infection of umbilical stump  
*rare
*Rare


==Clinical Features==
==Clinical Features==
*erythema of skin around umbilical stump  
*Erythema of skin around umbilical stump  
*purulent drainage  
*Purulent drainage  
*fever
*[[Fever]]


==Differential Diagnosis==
==Differential Diagnosis==
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*[[Necrotizing fasciitis]]
*[[Necrotizing fasciitis]]
*[[Neonatal sepsis]]
*[[Neonatal sepsis]]
{{Neonatal rashes DDX}}


==Evaluation==
==Evaluation==
*CBC, BMP  
*CBC, BMP  
*blood cultures  
*Blood cultures  
*septic workup if febrile neonate (UA, CXR, LP)  
*Septic workup if febrile neonate ([[UA]], [[CXR]], [[LP]])  
*imaging (ultrasound or CT) as indicated
*Imaging (ultrasound or CT) as indicated


==Management==
==Management==
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**[[Ampicillin]]
**[[Ampicillin]]
**[[Vancomycin]]
**[[Vancomycin]]
**Consider [[clindamycin]] or [[metronidazole]] if concern for [[anaerobes]]
*Surgical consultation as indicated
*Surgical consultation as indicated


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[[Category:Pediatrics]]
[[Category:Pediatrics]]
[[Category:GI]]
[[Category:GI]]
[[Category:ID]]

Latest revision as of 19:25, 5 March 2020

Background

  • Acute infection of umbilical stump
  • Rare

Clinical Features

  • Erythema of skin around umbilical stump
  • Purulent drainage
  • Fever

Differential Diagnosis

Neonatal Rashes

Evaluation

  • CBC, BMP
  • Blood cultures
  • Septic workup if febrile neonate (UA, CXR, LP)
  • Imaging (ultrasound or CT) as indicated

Management

Disposition

  • Admit if febrile or ill appearing
  • Consider discharge if very mild case and excellent follow-up assured

References

Harwood Nuss, EMedicine