1. Cephalhematomas revisited: when should a diagnostic tap be performed?
- Author
-
LeBlanc, Claire M.A., Allen, Upton D., and Ventureyra, Enrique
- Subjects
Hematoma -- Diagnosis ,Infants (Newborn) -- Health aspects ,Health - Abstract
A diagnostic tap should be performed in all babies with cephalhematoma if the condition does not resolve spontaneously and the infant develops symptoms of infection. Cephalhematoma is a small, benign hemorrhage within a cranial bone that usually resolves spontaneously. A 14-day-old baby was admitted to a hospital because of lethargy, irritability and feeding difficulties. He had a cephalhematoma at birth, which was still present. A spinal tap revealed cloudy cerebrospinal fluid that tested positive for the bacterium E. coli. Blood and urine samples were also positive. A CT scan of his brain revealed abscesses in the same area as his cephalhematoma. His condition did not improve on antibiotics, so his doctors tapped the cephalhematoma. The pus aspirated from the cephalhematoma tested positive for E. coli.
- Published
- 1995