Presentation
Urachal fistula presenting as umbilical sepsis: A rare case in an adult male. [medscimonit.com]
We present a rare presentation of neonatal herpes in an 8 day old neonate who presented with fever and pustules around the umbilicus. Baby was treated with intravenous benzylpenicillin and flucloxacillin. [adc.bmj.com]
It normally disappears between the fifth and ninth weeks of intrauterine life .A patient with PVID (patent vitello-intestinal duc) may present with umbilical sepsis. [scopemed.org]
DOI: Umbilical pilonidal cyst presenting as umbilical sepsis Abstract Pilonidal disease comprises a spectrum of clinical presentations, ranging from asymptomatic hair containing cysts and sinuses to large symptomatic abscesses that have some tendency [ijmedicine.com]
Respiratoric
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Nasal Flaring
[…] resident of the study area, presenting to KHC during the study period with an elevated axillary temperature of 37.5 C and any one of the following symptoms of infection: purulent discharge (from ear/eye/umbilicus), respiratory distress (cyanosis, grunting, nasal [f1000research.com]
Gastrointestinal
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Periumbilical Pain
He suffered from periumbilical pain for about 1 week. The character of the pain was not cramping but persistent. Because the pain became more severe, he visited our ED for help. [ajemjournal.com]
Psychiatrical
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Indecisiveness
Diagnostic indecision leads to increased morbidity due to delayed treatment and overuse of empiric broad-spectrum antibiotics5. [biorxiv.org]
Workup
Currently the baseline workup is done using blood samples from the infant to perform Blood culture, CBC, I/T ratio. These tests have shown to have low sensitivity and specificity to diagnosis EONS. [clinicaltrials.gov]
If the patient has systemic symptoms, a full neonatal septic workup including chest radiograph, urinalysis, urine culture, and cerebrospinal fluid culture should be obtained. [ncbi.nlm.nih.gov]
However, HIT antibody was negative and since the sepsis workup was negative, DIC was unlikely. ATN from intraoperative ischemia was less likely due to the presence of normal hemodynamics during the surgery. [tandfonline.com]
We studied 50 LBW (Low birth weight) neonates born from mothers with PROM as the case group and fifty LBW neonates born from mothers without PROM as our control group Neonates born from pregnant women with PROM underwent sepsis workup and blood samples [scialert.net]
Immunological workup is an integral part of SLE diagnostic criteria. Anti-ribosomal P Protein (anti-P) antibodies are highly specific for SLE. They may be present in Antinuclear Antibodies (ANA) negative SLE patients. [pesquisa.bvsalud.org]
Microbiology
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Eikenella
J Clin Neonatol 2 Youngest survivor of perinatal infection by Eikenella corrodens : case analysis and literature review highlighting the merits of placental swab culture New Microbes and New Infections. 2018; 21: 81 3 Use of Placental/Umbilical Blood [jcnonweb.com]
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Bordetella Pertussis
pertussis and other bordetella sp infections; herpes simplex; toxoplasmosis; pneumocystis and other less common fungal infections; and healthcare-associated infections in the nursery Keep up with the most relevant topics in fetal/neonatal infectious [books.google.es]
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Haemophilus Parainfluenzae
As shown in Table 2, positive organisms in PS were: S agalactiae (n 2), E coli, Enterobacter aerogenes, Haemophilus parainfluenzae, Streptococcus gallolyticus, Sneathia sanguineges, and Actinomyces neuii. [biorxiv.org]
Other Pathologies
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White Matter Lesions
Yoon BH, Romero R, Yang SH, Jun JK, Kim IO, et al. (1996) Interleukin-6 concentrations in umbilical cord plasma are elevated in neonates with white matter lesions associated with periventricular leukomalacia. Am J Obstet Gynecol May 174(5): 1433–40. [journals.plos.org]
Treatment
Due to the risk of peritoneal extension of inflammation from this lesion, conservative treatment is not acceptable. Surgery is the choice of treatment. Keywords Umbilicus, Pilonidal cyst, Sepsis, Hairy References Azzam S, Al-Kadi. [ijmedicine.com]
Early detection and treatment, has been shown to decrease the mortality significantly. We present a rare presentation of neonatal herpes in an 8 day old neonate who presented with fever and pustules around the umbilicus. [adc.bmj.com]
Due to the risk of peritoneal extension of inflammation from this lesion, conservative treatment is not acceptable. Surgery is the choice of treatment. Key words: Umbilicus, Pilonidal cyst, Sepsis, Hairy [scopemed.org]
Form a definitive diagnosis and create the best treatment plans possible using evidence-based recommendations and expert guidance from world authorities. [books.google.es]
Prognosis
Prognosis The prognosis for most infants is variable. • In most cases prognosis is Poor. • Omphalitis with complications is associated with mortality rate up to 80% in developed countries. • In the less developed countries, mortality is 95% 17. [es.slideshare.net]
Prognosis The prognosis for foals with neonatal sepsis is fair to poor with more than 50% of these foals not surviving. [vetspecialists.com]
Prognosis The prognosis for infants with omphalitis varies. Outcome is usually favorable in infants with uncomplicated omphalitis associated with cellulitis of the anterior abdominal wall. [emedicine.medscape.com]
Etiology
The etiology and treatment of the pilonidal sinus. Dig Surg. 1995;12:117-20. Ali C, Hakan B, Omer FA, Abdullah O. Etiological factors in umbilical pilonidal sinus. Indian J Surg. 2011;73:54-7. Eryilmaz R, Sahin M, Okan I. [ijmedicine.com]
Conclusion: UCBC has good diagnostic validity for etiological diagnosis of bacterial sepsis in high risk neonates. Organisms grown in umbilical cord blood samples are comparable with venous blood culture samples. [medicalsciencejournal.com]
Cord pus swabs were taken on these to determine the bacterial etiology for cord sepsis and the neonates were then followed up for a maximum of ten days to determine the immediate outcome. [makir.mak.ac.ug]
Etiology Omphalitis is a polymicrobial infection typically caused by a mixture of aerobic and anaerobic organisms. [emedicine.medscape.com]
Epidemiology
The text gives a global emphasis on epidemiological and cultural issues such as problems associated with directed transfusion of blood products from first degree relatives, the issues of informed consent and patient autonomy. [books.google.es]
Flavobacterium meningosepticum infection: an epidemiologic study in a newborn nursery. J Clin Pathol 1981;34(4):429-33. Ceyhan M, Yildirim I, Tekeli A, Yurdakok M, Us E, Altun B, et al. [medigraphic.com]
8) Obstetrics, Gynaecology (7) Medical Chemistry and Biochemistry (6) Gastroenterology and Hepatology (6) Genetics (6) Neurosurgery (6) General Practice Medicine (5) Diabetology, Dietetics (4) Dermatology (3) Pharmacology (3) Otorhinolaryngology (3) Epidemiology [portal.mefanet.cz]
Epidemiology Episodes of omphalitis are usually sporadic, but rare epidemics occur. Mean age of onset is 5–9 days in term infants and 3–5 days in preterm infants. [unboundmedicine.com]
Pathophysiology
This article outlines the pathophysiology, differential diagnosis, microscopic features and management of this rare disease. Due to the risk of peritoneal extension of inflammation from this lesion, conservative treatment is not acceptable. [scopemed.org]
Kunio Okuda, Jean-Pierre Benhamou Springer Science & Business Media, ٠٩/١١/٢٠١٣ - 569 من الصفحات Portal hypertension is the abnormal pathophysiologic state that develops in liver cirrhosis and certain other disorders with characteristic clinical and [books.google.com]
[…] s career goals to: 1) lead a clinical-translational research program on the pathophysiology and host responses of perinatal infection and 2) bring new, reliable sepsis diagnostics to clinical practice, to improve neonatal outcomes through targeted treatment [grantome.com]
Prevention
Since 2009 the antiseptic has been manufactured and used in Nepal in its gel form to prevent umbilical cord infections in neonates. [kathmandupost.com]
Surgical excision of the urachal remnant is necessaryto prevent recurrence. [medscimonit.com]
Most of newborn infections can be prevented by following some simple rules of cleanliness and hygiene. [prernanayak.blogspot.com]
Conclusion: Use of chlorhexidine for umbilical cord care prevents sepsis in the NICU. [academic.oup.com]
Prevention of sepsis is probably the best management strategy as far as neonatal sepsis is concerned. Strategies include prevention of early-onset sepsis and prevention of late-onset sepsis. [books.google.es]