Clostridium sordellii necrotizing omphalitis: A case report and literature review

Eric J. Rellinger, Brian T. Craig, Laura D. Craig-Owens, M. Cristina Pacheco, Dai H. Chung, Melissa E. Danko

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Omphalitis is an infrequent neonatal infection of the umbilicus. Necrotizing infections are a rare complication of omphalitis that requires prompt antibiotic therapy, surgical debridement, and supportive care. Here, we present a rare case of Clostridium sordellii necrotizing omphalitis that progressed to severe toxemia characterized by refractory hypotension, massive capillary leak, leukemoid reaction, and absence of fever. These clinical features are common in C. sordellii infections and harbor a poor prognosis with only one reported survivor (out of 12) of C. sordellii omphalitis reported in the literature. Early antibiotic and surgical intervention remain the mainstay of care as no early detection assays or antitoxins are commercially available.

Original languageEnglish (US)
Pages (from-to)35-38
Number of pages4
JournalJournal of Pediatric Surgery Case Reports
Volume10
DOIs
StatePublished - Jul 1 2016
Externally publishedYes

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Keywords

  • Clostridium sordellii
  • Necrotizing infection
  • Omphalitis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

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