Omphalitis
As omphalitis refers to a (navel inflammation navel inflammation) inflammation of the umbilical stump and the surrounding abdominal wall.
causes
Omphalitis usually occurs in newborns during the first few weeks of life and is traumatic and infectious . Risk factors are a low birth weight, previous punctures of the umbilical cord, and premature or delayed rupture of the umbilical cord. More rarely, omphalitis can also be triggered by a navel piercing .
Umbilical infections are usually mixed bacterial infections. Staphylococcus aureus , A streptococci , Escherichia coli , Klebsiella pneumoniae , Proteus mirabilis , but also anaerobes such as Bacteroides fragilis and Clostridium perfringens are more frequently involved.
Symptoms
In the initial stage, a purulent discharge from the navel and reddening and swelling of the surrounding tissue are typical .
Complications
Without treatment, complications and life-threatening conditions due to ascending infections are relatively common. Peritonitis , liver abscesses , portal vein thrombosis , endocarditis and sepsis are associated with fever and fatigue. Local complications such as necrosis of the abdominal muscles , abscesses around the umbilical region and necrotizing fasciitis also have a fairly high mortality rate .
treatment
Antibiotics , rarely surgical measures, are used for treatment .
literature
- Jill M. Baren, Steven G. Rothrock: Pediatric emergency medicine . Elsevier Health Sciences, 2007, ISBN 978-1-4160-0087-7 , p. 348.
