einstein (São Paulo). 29/Aug/2014;12(3):384-5.

Facial swelling in newborn

DOI: 10.1590/S1679-45082014AI2606

A 22-day-old male infant, the first child of non-consanguineous parents, who was delivered from a followed-up and normal pregnancy, and without alterations in analytical and echographic evaluation. He was born by cesarean section at 39 weeks, because the labor failed to progress, with Apgar score of 9 at 1 minute and of 10 at 5 minute, weighting 3,240g at birth without intercurrences in the neonatal period. The newborn was exclusively breastfed with adequate weight gain (with 22 days of life he weighed 3,650g).

The infant was admitted to the urgency service with mild fever, swelling, preauricular flushing and effacement of the mandibular angle with 1 day of evolution (). At examination we detected a purulent exudate exiting Stensen’s duct (). Laboratory tests revealed: leukocytes 17,000/mm³ with 68% neutrophils and C-reactive protein 1.3mg/L. In microbiologic exam of the exudate exiting Stensen’s duct revealed the methicillin-sensitive Staphylococcus aureus. At hospital admission the newborn began the treatment with intravenous flucloxacillin and gentamicina and after discharge he completed treatment with oral flucloxacilin (after antibiogram). The infant evolved without complications and was discharged in good clinical condition.

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