Which physical findings are characteristic of localized omphalitis?

Updated: May 20, 2019
  • Author: Patrick G Gallagher, MD; Chief Editor: Santina A Zanelli, MD  more...
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Answer

Physical signs of omphalitis vary with the extent of the disease. Signs of localized infection include the following:

  • Purulent or malodorous discharge from the umbilical stump

  • Periumbilical erythema (Recently, algorithms that attempt to standardize the clinical diagnosis of omphalitis have been developed, emphasizing extent of periumbilical erythema and absence or presence of pus.)

  • Edema

  • Tenderness

The image below shows a case of omphalitis associated with bullous impetigo due to Staphylococcus aureus.

A case of omphalitis associated with bullous impet A case of omphalitis associated with bullous impetigo due to Staphylococcus aureus.

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