Subgaleal Abscess

Subgaleal abscess is purulent collection in subgaleal space (scalp), usually from folliculitis/trauma/omphalitis spread, presenting with fluctuating scalp swelling, fever, erythema. Treatment: incision and drainage; culture; anti-staph/strep antibiotics (cephalexin/anti-staph penicillin/vancomycin if MRSA concern); imaging (CT) to rule out osteomyelitis/epidural extension; wound care; monitor for sepsis; follow-up.

Common Symptoms

Fluctuant scalp swelling; fever; erythema; by folliculitis/trauma

Causes and Pathogenesis

Skin infection spreads to subgaleal space forming abscess.

Treatment

Incision+drainage; antibiotics; imaging; wound care

Preventive Measures

Treat scalp folliculitis; avoid trauma.

Department to Visit

It is recommended to visit the Dermatology/Neurosurgery/General-surgery/Infectious-disease department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.