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This version was published on March 1, 2008
Clinical Pediatrics, Vol. 47, No. 2, 183-185 (2008)
DOI: 10.1177/0009922807306778
© 2008 SAGE Publications

Spontaneous Drainage of Neonatal Cephalohematoma: A Delayed Complication of Scalp Abscess

Catalina M. Kersten, MD

Division of Pediatric Hospital Medicine, Department of Child Health, University of Missouri Health Care, Children's Hospital, Columbia, Missouri, kerstenc{at}health.missouri.edu

Christina M. Moellering, MD

Division of Pediatric Hospital Medicine, Department of Child Health, University of Missouri Health Care, Children's Hospital, Columbia, Missouri

Sayonara Mato, MD, MPH&TM

Division of Pediatric Hospital Medicine, Department of Child Health, University of Missouri Health Care, Children's Hospital, Columbia, Missouri

Neonatal cephalohematomas are known complications of traumatic deliveries, and the majority of cases resolve without intervention. Scalp abscesses are rare and often described as benign complications of fetal scalp monitoring. Spontaneous drainage of a neonatal cephalohematoma, with or without associated scalp abscess, has not yet been described. We present a case of a neonate with recurrent Escherichia coli bacteremia and spontaneous drainage of a large cephalohematoma through an overlying scalp abscess.

Key Words: cephalohematoma • scalp abscess • Escherichia coli • spontaneous drainage • newborn infant


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