REBEL Cast REBEL Core Cast 130.0 – Omphalitis
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Oct 30, 2024 Dive into the critical world of omphalitis, a serious infection affecting newborns. Discover the alarming signs of erythema and warmth around the umbilicus that necessitate immediate action. Learn why early diagnosis is crucial and the role of antibiotics in treatment. Hear about the importance of pediatric surgery consultations to prevent life-threatening complications. The discussion highlights the severe progression of this condition and the aggressive approach needed when symptoms escalate.
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Swami's Clinical Experience
- Swami recently treated a patient with omphalitis, highlighting its clinical relevance.
- The condition is rare in developed countries but critical to recognize in emergency settings.
Omphalitis Clinical Course
- Omphalitis is a neonatal superficial cellulitis around the umbilical cord usually appearing within two weeks of birth.
- It can rapidly progress to necrotizing fasciitis, which greatly increases morbidity and mortality.
Progression Risk of Omphalitis
- About 10-15% of umphalitis cases progress to necrotizing fasciitis, which carries high risk.
- Early erythema and warmth around the umbilicus is abnormal and requires urgent attention.
Take Home Points