title: Infected cephalohematoma associated with sepsis and scalp cellulitis: a case report.
abstract: Infected cephalohematoma is rarely complicated by sepsis. We report a case of an infected cephalohematoma caused by Escherichia coli sepsis in an otherwise healthy neonate. Skull X-ray revealed soft tissue swelling over parieto-temporal region but no osteolytic lesion. 99mTc bone scan showed scalp cellulitis. Blood culture and scalp wound culture identified E. coli. Treatment with surgical incision and drainage and administration of antibiotics resulted in prompt improvement. The relationship of scalp cellulitis, infected cephalohematoma, and sepsis are discussed.
authors.affiliation: Department of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
authors.forename: Hueng-Chuen
authors.initials: HC
authors.lastname: Fan
authors.forename: Yi-Ming
authors.initials: YM
authors.lastname: Hua
authors.forename: Chun-Jung
authors.initials: CJ
authors.lastname: Juan
authors.forename: Yu-Mieng
authors.initials: YM
authors.lastname: Fang
authors.forename: Shin-Nan
authors.initials: SN
authors.lastname: Cheng
authors.forename: Chih-Chien
authors.initials: CC
authors.lastname: Wang
mesh_terms: D002481:Cellulitis / Q000188:drug therapy / Q000382:microbiology*; D002543:Cerebral Hemorrhage / Q000150:complications*; D005260:Female; D006406:Hematoma / Q000150:complications*; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D012536:Scalp Dermatoses / Q000188:drug therapy / Q000382:microbiology*; D018805:Sepsis / Q000188:drug therapy / Q000382:microbiology*; D016896:Treatment Outcome