Page 389 - Abstract Book KONIKA 18

Pediatric Imaging

P-PI-038
Use of Ultrasound to Early Recognition of Abdominopelvic Cellulitis in Neonates

Diko Anugrah, Resita Sehati, Evita Karianni
Department of Child Health,Faculty of Medicine Universitas Indonesia/Dr. Cipto Mangunkusumo Hospital,
Jakarta, Indonesia
Abstract
Background Cellulitis is a bacterial infection of the skin that may appear as a red, swollen and warm skin.
The incidence of cellulitis is about 200 cases per 100,000 patient-years. The most common bacteria causing
cellulitis include Haemophilus sp., Staphylococcus sp., or Streptococcus sp. Ultrasound can be used as an
imaging modality to evaluate soft tissue involvement. Ultrasound findings may show cobblestone appearance
and may vary in degree depending on the amount of perifascial fluid, the degree of edema, and the orientation
of the interlobular fat strands. Objective To inform the use of ultrasound in identifying cellulitis in neonates
Case A premature neonate (35 weeks, 1620 grams) was born by vaginal delivery. After birth there is no
sign of any infection, the baby is active and stable. In 5 days of age, there was redness in the abdomen
which rapidly extended to the umbilical, back to the pelvis. There was no fever, the baby looked restless.
Cellulitis initially appeared as pink-to-red, slightly inflamed skin. The lesion progressed to a deeper red,
swollen, warm, and tender while the surrounding skin increases in size as the infection spreads. Soft tissue
ultrasound shows cobblestone appearance therefore cellulitis was diagnosed. The superiority of sonography
over physical examination in identifying cellulitis has been well established. In cases of questionable skin
infections, ultrasound examination may be of use to find the cause of infection hence prompt treatment may
be initiated. Conclusion The superiority of sonography over physical examination in identifying cellulitis
has been well established. In cases of doubtful skin infections, ultrasound examination can be done to find
the cause so that treatment can be given earlier.

Keywords: ultrasound; cellulitis; neonates

KONIKA XVIII Abstract Book 341