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Omphalitis of newborn is the medical term for inflammation of the umbilical cord stump in the neonatal newborn period, most commonly attributed to a bacterial infection. [1] Typically immediately after an infant is born, the umbilical cord is cut with a small remnant (often referred to as the stump) left behind.
Most neonates with congenital CMV infection will not have any symptoms, but a minority of infected newborns will have symptomatic infection. Common symptoms include rash, microcephaly (small head), low birth weight, jaundice, thrombocytopenia, seizures and retinitis.
Neonatal tetanus (trismus nascentium) is a form of generalised tetanus that occurs in newborns. Infants who have not acquired passive immunity from an immunized mother are at risk. It usually occurs through infection of the unhealed umbilical stump, particularly when the stump is cut with a non-sterile instrument.
Umbilical granuloma is the most common umbilical abnormality in newborn children or neonates, causing inflammation and drainage. [1] [2] [3] It may appear in the first few weeks of newborn infants during the healing process of the umbilical cord due to an umbilical mass. [4] It is the overgrowth of the umbilical tissue. [5]
Symptoms present in the baby shortly after birth from a prior nuchal cord may include duskiness of face, facial petechia, and bleeding in the whites of the eye. [1] Complications can include meconium, respiratory distress, anemia, and stillbirth. [1] Multiple wraps are associated with greater risk. [3]
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These infections include cellulitis of the site of fetal monitoring (caused by Bacteroides spp.), bacteremia, aspiration pneumonia (caused by Bacteroides spp.), conjunctivitis (caused by clostridia), omphalitis (caused by mixed flora), and infant botulism. [46] [47] Clostridial species may play a role in necrotizing enterocolitis. [48]
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