Symptoms of omphalitis

summary

Omphalitis is a bacterial infection of the umbilical stump. According to the age of onset, adult omphalitis and Neonatal Omphalitis can be divided into acute omphalitis and chronic omphalitis. Acute omphalitis is an acute cellulitis of periumbilical tissue. If the infection progresses, it may be complicated with abdominal wall cellulitis, or it may develop into periumbilical abscess, with the risk of peritonitis and sepsis. The pathogenic bacteria were Staphylococcus aureus and so on. Chronic omphalitis is a kind of chronic inflammation of the umbilicus caused by irregular, prolonged treatment of acute omphalitis or unhealed wound and local stimulation of foreign bodies left after umbilical cord shedding. Symptoms of omphalitis. Let's talk about it

Symptoms of omphalitis

(1) The initial symptoms of Neonatal Omphalitis are delayed wound healing and fluid discharge after umbilical cord falling off, sometimes with red and swollen umbilical wheel, small granulation surface or a small amount of mucus or purulent secretion in umbilical fossa. Serious person can have red, swollen, hot, painful wait for the symptom of cellulitis. When the infection is more serious, obvious swelling and hardening around the umbilicus can be seen, there are more purulent secretions, light pressure around the umbilicus, pus flows out from the umbilicus concave and has a bad smell. General systemic symptoms are mild, such as infection spread to the adjacent peritoneum, resulting in peritonitis, patients often have varying degrees of fever and increased white blood cell count. If septicemia is caused by vascular spread, symptoms such as restlessness, pale complexion, rejection of milk, dyspnea and hepatosplenomegaly may appear.

(2) The acute stage of adult omphalitis is characterized by pain, hyperemia and edema in the umbilicus fossa or circumumbilicus, and there are often serous secretions with odor. Physical examination showed that the umbilical fossa was moist, periumbilical swelling and tenderness. In severe cases, there was abscess in the umbilical fossa with fever, and there could be lymph node enlargement in the groin. Occasionally, it can spread around the umbilicus and have systemic symptoms such as deep infection and cellulitis.

(3) Umbilical fossa moist swelling, exudate odor, can be purulent or mixed with blood. Because the secretion stimulates the surrounding skin, it can cause eczema like changes and even erosion. Adults or older children report itching and often scratch the navel with their hands. Physical examination showed that there was granulation tissue hyperplasia in the umbilical fossa, with dark red color, convex surface, no mucosal coating, and contact bleeding. Most of them have a long course of disease.

matters needing attention

Before and after the umbilical stump falls off, diapers should be changed frequently to keep the umbilical part clean and dry. 75% medical alcohol can be used to wipe the umbilical stump and its surroundings 2-3 times a day. If there is scab formation, the scab should be lifted when smearing alcohol, from the inside to the outside, in order to really play the role of disinfection.