Sacrococcygeal Abscess in Neonates.
- Author:
Doo Sun LEE
1
Author Information
1. Section of Pediatric Surgery, Department of General Surgery, College of Medicine, Dankook University, Chunan, Korea.
- Publication Type:Original Article
- Keywords:
Neonatal abscess;
Sacrococcygeal
- MeSH:
Abscess*;
Anti-Bacterial Agents;
Coinfection;
Drainage;
Fever;
Granuloma;
Humans;
Infant, Newborn*;
Klebsiella;
Male;
Meningocele;
Pilonidal Sinus;
Proteus;
Sacrococcygeal Region;
Sex Ratio;
Spina Bifida Occulta;
Staphylococcus aureus;
Suppuration;
Ultrasonography
- From:Journal of the Korean Association of Pediatric Surgeons
1998;4(2):144-147
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Sacrococcygeal region is the site of frequent occurrence for meningocele, congenital dermal sinus or pilonidal cyst. We have experienced 8 patients with sacrococcygeal midline abscess which developed in early neonatal period from May 1995 to July 1998. Mean age at the onset was 8.3 days with a range from 6 to 11 days. Sex ratio was 5:3 with male preponderance. They did not have any systemic symptoms except for a mild fever in one patient. Ultrasonogram revealed a slightly hypoechoic lesion in the subcutaneons tissue which became more hypoechoic with time. In pus cultures, Staphylococcus aureus grew in 7 patients. Of the 7 patients, 2 patients had a mixed infection with E. coli and other 2 were proved to be methicillin-resistance Staphylocccus aureus. Remaining one patient had a mixed infection with Klebsiella and Proteus. Histopathological examination revealed non-specific granuloma and fibrinoid necrotic debris. They were easily treated with incision, drainage and proper antibiotics.
