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Radiological Case of the Month
Pratibha Ankola, MD;
Savita Manwani, MD
From the Department of Pediatrics, Metropolitan Hospital Center, New
York, NY.
Arch Pediatr Adolesc Med. 2001;155:521-522.
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A 36-HOUR-OLD male neonate developed rapid abdominal distention, poor
feeding, lethargy, and jitteriness. The significant prenatal history included
premature rupture of membranes for 1 week prior to delivery, but there was
no evidence of chorioamnionitis, and results of a screening for group B Streptococcus were negative. The mother received intrapartum
antibiotics because of premature rupture of membranes and received steroids
to mature the fetal lung. The baby was delivered by emergency cesarean delivery
because of fetal distress and persistent fetal tachycardia noted on intrapartum
fetal monitoring. Apgar scores were 2 at 1 minute and 8 at 5 minutes. The
infant received positive pressure ventilation for 3 minutes after birth. Physical
examination revealed a 37-week, appropriate for gestational age male infant.
The initial arterial blood gas at 30 minutes showed a pH of 7.39 and base
excess of -4.8. The infant was started on formula . . . [Full Text of this Article]
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Commentary
Naqvi
CLIN PEDIATR 2004;43:677-679.
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