Case presentation A 1-week-old male neonate was admitted with a complaint of swelling and discoloration of the chest and upper abdomen, excessive crying, and fever of 2-day history. The swelling was first noticed at the umbilicus but spread to the chest within a few hours, and the swelling was associated with reddish discoloration of the overlying skin. The child cried excessively, particularly when the abdomen or the chest was touched. There was a 2-day antecedent history of hot water massage of the umbilicus by the grandmother before the onset of the symptoms.
No other risk factor for sepsis was identified. On examination Pitting edema was over the chest and anterior abdominal wall extending from the clavicles superiorly, midaxillary lines laterally, and umbilicus inferiorly. What is your most likely diagnosis for this neonate? *This Case Challenge is from the Editorial Team of…
