Keywords: Omphalitis, necrotizing fasciitis, umbilical cord (PubMed Search)
Should you be concerned about erythema around the umbilical stump?!
Often parents will bring their neonate to the ED with concerns about the umbilical cord and it is just a simple granuloma or normal detachment. But is it omphalitis???
Omphalitis incidence is low in developed countries, but that means it’s easier, and no less catastrophic, to miss!
Omphalitis is a superficial cellulitis of the umbilical cord, but 10-16% progress to necrotizing fasciitis of the abdominal wall!!!
Always ADMIT and consider consulting surgery early in case of rapid progression…
Most often polymicrobial and should be treated with:
Should notice improvement within 12-24 hours, so if don’t or begin to observe
CONSULT SURERY for concern of necrotizing fasciitis which has a mortality rate of close to 60%!!!