Which physical findings are characteristic of extensive local omphalitis?

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

The following signs indicate more extensive local disease, such as necrotizing fasciitis or myonecrosis, which are typically found in a periumbilical location but may spread across the abdominal wall, onto the flanks and back, and into the scrotum. These signs may also suggest infection by both aerobic and anaerobic organisms and include the following:

  • Ecchymoses, violaceous discoloration

  • Bullae

  • Peau d'orange appearance

  • Crepitus

  • Petechiae

  • Progression of cellulitis despite antimicrobial therapy

The images below demonstrate findings in a case of omphalitis (left) associated with extensive myonecrosis (right).

A case of omphalitis (left) associated with extens A case of omphalitis (left) associated with extensive myonecrosis (right).

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