Sacrococcygeal Abscess in Neonates

ABSTRACT

Sacrococcygeal region is the site of frequent occurrence for meningocele, congenital dermal sinus or pilonidal cyst. We have experienced 8 patients with sacrococcygeal midline abscess which developed in early neonatal period from May 1995 to July 1998. Mean age at the onset was 8.3 days with a range from 6 to 11 days. Sex ratio was 53 with male preponderance. They did not have any systemic symptoms except for a mild fever in one patient. Ultrasonogram revealed a slightly hypoechoic lesion in the subcutaneons tissue which became more hypoechoic with time. In pus cultures, Staphylococcus aureus grew in 7 patients. Of the 7 patients, 2 patients had a mixed infection with E. coli and other 2 were proved to be methicillin-resistance Staphylocccus aureus. Remaining one patient had a mixed infection with Klebsiella and Proteus. Histopathological examination revealed non-specific granuloma and fibrinoid necrotic debris. They were easily treated with incision, drainage and proper antibiotics.