Acta Scientific Paediatrics (ISSN: 2581-883X)

Case Report Volume 5 Issue 8

A Case Report on Omphalitis

Rodrigues, Bruna Suda1, Marra, Deborah Desiree Coelho2, Duarte Márcio Luis2,3 and Duarte Elcio Roberto1,2

1Irmandade Da Santa Casa De Misericórdia De Santos, Santos, São Paulo, Brazil
2Faculdade De Ciências Médicas De Santos, Santos, São Paulo, Brazil
3Msc, PhD in Evidence-based Health at UNIFESP, São Paulo – São Paulo, Brazil

*Corresponding Author: Dr. Élcio Roberto Duarte, Irmandade da Santa Casa de Misericórdia de Santos, Santos – São Paulo, Brazil.

Received: June 22, 2022; Published: July 13, 2022


Omphalitis is characterized by a bacterial infectious process that affects the umbilical scar and adjacent regions, it showed up through purulent drainage or with stinky odor at periumbilical region, local edema and erythema. In severe cases, the infection can spread through the abdominal wall, back, and perineum, and if not treated properly, it can progress to neonatal sepsis.

The authors present a case report of a 4-day-old, low-birth-weight male patient born at 38 weeks gestational age. At admission, the newborn was with significant jaundice, umbilical stump in mummification process, localized tumor hardened at the base and edematous, with periumbilical erythema, without signs of pain on palpation or signs of incarceration, possibly corresponding to omphalitis. The physical examination confirmed the diagnostic hypothesis, leading the patient to successful treatment with intravenous antibiotic therapy.

Keywords: Infant; Newborn; Infection; Umbilical Cord; Skin Care


  1. Karumbi J., et al. “Topical umbilical cord care for prevention of infection and neonatal mortality”. The Pediatric Infectious Disease Journal 1 (2013): 78-83.
  2. Mendoza MP and Hernández KB. “Clinical and epidemiological characterization of omphalitis in a neonatology service”. Medicentro3 (2015): 157-159.
  3. Canale A., et al. “Onphalitis for persistence of onphalomesenteric conduct: a case report”. PECIBES (2020): 25-29.
  4. World Health Organization. Children: reducing mortality (2016).
  5. López-Medina MD., et al. “Dry care versus chlorhexidine cord care for prevention of omphalitis. Systematic review with meta-analysis”. Revista Latino-Americana de Enfermagem 27 (2019): e3106.
  6. Pereira MDAA., et al. “Assistência à saúde da criança: uma análise multidimensional dos serviços de saúde”. Revista Ciência Plural3 (2018): 57-68.
  7. Steer-Massaro C. “Neonatal Omphalitis After Lotus Birth”. Journal of Midwifery and Women's Health 2 (2020): 271-275.


Citation: Duarte Elcio Roberto., et al. “A Case Report on Omphalitis". Acta Scientific Paediatrics 5.8 (2022): 12-14.


Copyright: © 2022 Dr. Élcio Roberto Duarte., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Acceptance rate33%
Acceptance to publication20-30 days
Impact Factor1.197

Indexed In

News and Events

Contact US