Omphalitis — RACP Paediatrics MCQ

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ModerateNeonatologyOmphalitisRACP Paediatrics

A term neonate born at home without medical assistance is found to have an umbilical stump that is erythematous, oedematous, and malodorous. He has a temperature of 38.5°C. What is the concern?

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Correct answer: C — Omphalitis

Omphalitis is a potentially life-threatening infection of the umbilical stump presenting with periumbilical erythema, oedema, discharge, and systemic signs. Complications include necrotising fasciitis, portal vein thrombosis, and peritonitis. Management includes IV broad-spectrum antibiotics and surgical consultation if necrotising fasciitis is suspected.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Umbilical Infections