Urachal fistula presenting as umbilical sepsis: A rare case in an adult male. [medscimonit.com]

DOI: http://dx.doi.org/10.18203/2349-3933.ijam20160205 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 [ijmedicine.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]

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]

• Sepsis

  Rational approach to diagnosis of neonatal sepsis. J Neonatol. 2006;20:4-7. Misra R, Jadhav S, Ghosh P. Role of sepsis screen in the diagnosis of neonatal sepsis. Med JDY Patil Univ. 2013;6:254-7. Jiang JH, Chiu NC, Huang FY. [ijpediatrics.com]

  It can be a useful diagnostic test for early onset sepsis, but its use still remains an uncommon practice. The gold standard for neonatal sepsis is blood culture collected from the peripheral vein [1]. [link.springer.com]

  Objectives: To analyze correlation of UCBC (Umbilical Cord Blood Culture) with Sepsis Screen and PVBC (Peripheral Vein Blood Culture) in Early Onset Neonatal Sepsis and also to compare organisms identified by UCBC and PVBC in neonatal sepsis. [medicalsciencejournal.com]

  Keywords : Procalcitonin; Umbilical Cord; Neonatal Sepsis; Infant; Premature. [scielo.org.co]

• Swelling

  Parameters such as redness, tenderness and swelling at umbilicus, pus discharge through umbilicus were adopted to assess the effect of Haridradi Tailam. [connection.ebscohost.com]

  Case Report:A 28 year old male presented with a red tender umbilical swelling that was confused with an umbilicalhernia. The correct diagnosis of a urachal fistula was reached after performing a CT scan. [medscimonit.com]

  Symptoms include Redness around umbilical stump Swelling Pain Pus from umbilical stump Fever Poor feeding. Umbilical sepsis is caused mainly due to bacterial infection. It can be prevented by maintaining hygiene while handling a newborn. [prernanayak.blogspot.com]

  Most of our patients were young men who presented with discharge, soreness or pain, swelling, and cellulitis. Treatment by umbilical excision, leaving the skin defect to heal by secondary intention, proved satisfactory. [ncbi.nlm.nih.gov]

  We report a case of umbilical pilonidal cyst in an 18 year old hairy adolescent male who presented with pain, redness, swelling and discharge from the umbilicus. [scopemed.org]

• Inflammation

  The transient nature of these factors could indicate that inflammation must be under tight control during this time. Keep in mind that normally, inflammation is a way to stave off infectious microbes in healthy individuals. [healthcare.utah.edu]

  When given to mice, the newly discovered factor countered signs of inflammation and sepsis, such as fever, fluctuations in respiratory rate, and death. [rtmagazine.com]

  Luke Anthony Tan, 05 Nov 2016 Most patients would have experienced inflammation in one way or another yet when left unchecked, inflammation can cause harm to healthy tissue. [today.mims.com]

  Sepsis means inflammation due to infection. Symptoms include Redness around umbilical stump Swelling Pain Pus from umbilical stump Fever Poor feeding. Umbilical sepsis is caused mainly due to bacterial infection. [prernanayak.blogspot.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]

• Turkish

  Turkish Neonatal Society; Nosocomial infections Study Group. Nosocomial infections in neonatal units in Turkey: epidemiology, problems, unit policies and opinions of healthcare workers. Turk J Pediatr 2010;52:50-57. 21. [signavitae.com]

• Respiratory Insufficiency

  Respirations can become shallow as respiratory insufficiency develops creating risk of acute respiratory failure. [nurseslabs.com]

• Periumbilical Pain

  We report a man with a case of urachal abscess, who presented to our ED with abdominal pain for 1 week. A 52-year-old man was quite well before. He suffered from periumbilical pain for about 1 week. [ajemjournal.com]

• Tachycardia

  The patient, however, persisted with tachycardia. An electrocardiogram was then performed, which confirmed the supraventricular tachycardia, suggestive of atrial flutter. [elsevier.es]

  Assessment Patient may manifest Irritability Weakness Temperature above normal level (36 oC) Skin warm to touch Presence of tachycardia (above 160 bpm) Presence of tachypnea (above 60 bpm) WBC elevated Nursing Diagnosis Hyperthermia related to inflammatory [nurseslabs.com]

  Low Apgar score (six or below) Temperature control issues (term infants are more likely to have a fever, while preterm infants are more likely to have hypothermia) Lethargy or irritability Respiratory issues such as tachypnea and apnea Tachycardia or [abclawcenters.com]

   Necrotizing fasciitis is characterized by abdominal distension, fever and tachycardia. Despite the illness, most of the neonates at presentation have good appetite and continue to suck. 10. [es.slideshare.net]

  Clinically, neonates with omphalitis present within the first two weeks of life with signs and symptoms of a skin infection (cellulitis) around the umbilical stump (redness, warmth, swelling, pain), pus from the umbilical stump, fever, fast heart rate (tachycardia [en.wikipedia.org]

• Jaundice

  Nuclear jaundice in neonatal (umbilical) sepsis with jaundice Statistics from Altmetric.com This is a PDF-only article. The first page of the PDF of this article appears above. [adc.bmj.com]

  The first symptom is jaundice, developing on the 1-2nd day after birth. This form is often complicated by nuclear jaundice. Anemic form occurs in 10-15% of children with hemolytic disease, with this form, hyperbilirubinemia is slightly expressed. [en.medicine-guidebook.com]

  23 25     Rupture of membrane > 18 h 5 7     Urinary tract infection 0 1     Fever in last trimester 1 2 Morbidities and exposure to interventions     Birth Asphyxia 14 13     Respiratory distress 22 20     Necrotizing Enterocolitis 9 8     Neonatal Jaundice [academic.oup.com]

  Omphalitis (Case PE) Generally: Alert, mildly jaundice, NOT| in respiratory distress. [es.slideshare.net]

• Erythema

   Fever since yesterday (38.5-39.5) C Umbilical yellowish discharge surrounded by erythema since yesterday. Hypoactivity in the past 2 days. (-) Vomiting, Diarrhea, Skin rash, Abnormal movements, Cyanosis, Cough or runny nose. Maternal UTI in the [es.slideshare.net]

  If there is a rapid progression of abdominal wall erythema or gas in the surrounding tissues, necrotizing fasciitis should be considered, and acute surgical consultation is needed.[7] Evaluation Laboratory evaluation with complete blood count and culture [ncbi.nlm.nih.gov]

• Fear

  All fear umbilical stump infection ( omphalitis )! Most common cause of Umbilical Masses. Form within the 1st week after cord separation. [pedemmorsels.com]

  […] nutritional intake, and schedule breast pumping every 3 hours while awake To sustain adequate milk production and breast feeding process Risk for Impaired Parent/Infant Attachment Due to the newborn’s physical illness and hospitalization, the parents may have fear [nurseslabs.com]

  Stigma and fear of disclosure are particularly important among females living in a conservative society. [emro.who.int]

  […] external defibrillator, (2) the perception on the importance of bystander cardiopulmonary resuscitation and automated external defibrillator (3) the perception on the confidence and willingness to apply these two lifesaving interventions as well as (4) the fears [read.qxmd.com]

  \ Citation Abstract Reference Full PDF Abstract: Background: Eclampsia is one of the most feared obstetric emergencies and a major contributor of maternal and fetal death from hypertensive disorders. [iosrjournals.org]

• Confusion

  Case Report:A 28 year old male presented with a red tender umbilical swelling that was confused with an umbilicalhernia. The correct diagnosis of a urachal fistula was reached after performing a CT scan. [medscimonit.com]

  Often confused with Umbilical Granuloma! Urachal Remnants Fistula – present with clear drainage or drainage of urine from the umbilicus. Cyst – present with painful mass between the suprapubic region and the umbilicus. Both can become infected. [pedemmorsels.com]

  The general symptoms include headache and, in serious cases, mental confusion, a body temperature reaching 39–40°C with large daily fluctuations, progressive emaciation, an increase in the pulse rate, a decrease in arterial pressure, and the development [encyclopedia2.thefreedictionary.com]

  There may be some confusion, however, if a well-appearing neonate simply has some redness around the umbilical stump. In fact, a mild degree is common, as is some bleeding at the stump site with detachment of the umbilical cord. [en.wikipedia.org]

• Somnolence

  […] the first two weeks of life with signs and symptoms of a skin infection (cellulitis) around the umbilical stump (redness, warmth, swelling, pain), pus from the umbilical stump, fever, fast heart rate (tachycardia), low blood pressure (hypotension), somnolence [en.wikipedia.org]

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]

• Staphylococcus Aureus

  Topical triple dye application reduced bacterial colonization with Staphylococcus aureus compared to both dry cord care and alcohol application. [cochranelibrary.com]

  Staphylococcus aureus (39.8%) was the commonest organism isolated. Gram negative organisms were predominant (60.4%) mainly due to E. coli (33.3%), Proteus (14.6%) and Klebiesella (10.4%). [makir.mak.ac.ug]

  A typical regimen will include intravenous antibiotics such as from the penicillin-group which is active against Staphylococcus aureus and an aminoglycoside for activity against Gram-negative bacteria. [en.wikipedia.org]

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]

With regards to the medicinal treatments, there is little data to support any one treatment (or lack thereof) over another. [en.wikipedia.org]

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]

Neonatal atrial flutter: significant early morbidity and excellent long-term prognosis. Am Heart J, 133 (1997), pp. 302-306 Copyright © 2015. Sociedade de Pediatria de São Paulo [elsevier.es]

Prognosis: good if infection has not spread elsewhere / foal has not become septic Foal: neonatal septicemia syndrome. [vetstream.com]

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]

Incidence and etiology of omphalitis in Pakistan: a community-based cohort study. J Infect Dev Ctries. 2011 Dec 13;5(12):828-33. [PubMed: 22169780] 4. Davies EG, Isaacs D, Levinsky RJ. [ncbi.nlm.nih.gov]

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]

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]

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]

Congenital cytomegalovirus infection: review of the epidemiology and outcome. Obstet Gynecol Surv. 2002; 57 :245–256. [ PubMed ] [ Google Scholar ] 8. Fowler KB, Stagno S, Pass RF. [ncbi.nlm.nih.gov]

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]

Since 2009 the antiseptic has been manufactured and used in Nepal in its gel form to prevent umbilical cord infections in neonates. [kathmandupost.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]

Surgical excision of the urachal remnant is necessaryto prevent recurrence. [medscimonit.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]