# Cephalohematoma Infected With Staphylococcus epidermidis and Skull Abscess: A Case Report

## TL;DR

A rare case of a neonate with a cephalohematoma infected by Staphylococcus epidermidis and a skull abscess is reported, with successful treatment using antibiotics and drainage.

## Contribution

This is the first documented case of cephalohematoma infected with Staphylococcus epidermidis and associated skull abscess in a neonate.

## Key findings

- The neonate had a cephalohematoma infected with Staphylococcus epidermidis and a skull abscess.
- The infection was localized to the scalp without systemic complications like sepsis or meningitis.
- Treatment with intravenous antibiotics and abscess drainage led to successful recovery.

## Abstract

Cephalohematoma is a self‐limiting lesion in 1%–2% of neonates. Cephalohematoma bleeds between the bone and periosteum and is limited to cranial sutures. Complications of the cephalohematoma include hyperbilirubinemia and secondary infection. We describe a neonate with cephalohematoma cultures positive for
S. epidermidis
as well as progressive deepening of the skull. There was no evidence of systemic infection, such as sepsis, meningitis, or osteomyelitis. In the ultrasound and brain MRI, the abscess was restricted to the scalp without involvement of the brain parenchyma and osteomyelitis of the bone. After a short period of intravenous antibiotics and drainage of the abscess, the patient was discharged from the hospital. To our knowledge, this is the first report of cephalohematoma infected with Staphylococcus

epidermidis
and skull abscess.