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January 1974

Osteomyelitis Complicating Neonatal Cephalhematoma

Author Affiliations

Columbia, SC; Houston
From the Department of Pediatrics, Baylor College of Medicine (Drs. Ellis, Montgomery, and Hill); the Department of Radiology, Texas Children's Hospital (Dr. Wagner); and the Halbouty Nursery, St. Luke's Episcopal Hospital (Dr. Hill), Houston. Dr. Ellis is now with the Richland Memorial Hospital, Columbia, SC.

Am J Dis Child. 1974;127(1):100-102. doi:10.1001/archpedi.1974.02110200102015

Cephalhematomas are usually uncomplicated and of little clinical importance. When infection occurs, osteomyelitis of the underlying bone may ensue. The progression of clinical and roentgenographic events in our patient represent an instance of infected cephalhematoma associated with neonatal sepsis and complicated by osteomyelitis. Treatment with antibiotics alone did not eradicate the infection. Recovery followed adequate treatment by incision and drainage in addition to appropriate antibiotic therapy for four weeks.