Neonatal Facial Subcutaneous Abscess: A Case Report

Skin and soft-tissue infections (SSTIs) are a relatively common diagnosis in both the pediatric adult populations include abscesses cellulitis. An abscess is focal, contained, purulent infection with clearly defined “cavity” surrounding inflammation involving deep subcutaneous tissues. Cellulitis an of skin, without organized cavity, presenting erythema, warmth, induration, tenderness [1]. There has been recent rise incidence SSTIs, up to 95% this increase attributed cellulitis, largest change occurring (<18 years) population [2]. In addition overall there concomitant community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) [3]. A 20 days old male full term baby born G2P1D1 mother via lower segment cesarean section view non progression labor birth weight 2.8 kgs presented our hospital diffusly present on left side scalp & face. Informant was father good reliability. Patient complaints fever since 2 distension abdomen days. Swelling over birth. All relevant investigations sent IV antiobiotics like meropenem vancomycin started. Incision drainage done by surgeon 100 ml pus removed. antibiotics given for 14 Regular dressing patient discharged day 16 admission. The gold standard treatment remains incision (I&D). use SSTIs after area great debate variance. As general guideline, Infectious Disease Society America (IDSA) recommends I&D only presence systemic signs infection. summary, very presentation ED. MRSA most isolate these abscesses, regardless risk factors. History physical exam combined ultrasound should be used diagnose abscesses. upper limb skin more common, we here report facial neonate which diffuse successfully treated.