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A Clinicopathologic Conference

Robert A. Hoekelman, MD; Virginia M. Anderson, MD

Am J Dis Child. 1982;136(3):258-264.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A¹,420-g male infant was delivered by cesarean section. His 22-year-old mother first went to her local hospital with premature onset of labor and a footling breech presentation. The mother was then transported to the hospital of delivery. She had received no prenatal care and had a history of myalgia, headaches, and fatigue one week prior to parturition. The Apgar score was 5 at both one and five minutes. The infant's muscle tone, respiratory rate, and spontaneous activity were decreased at birth. His airway was intubated and 100% oxygen was administered in the delivery room.

Physical examination on admission to the intensive care nursery disclosed an afebrile, small-for-gestational-age infant with multiple 1-mm petechiae over the torso and extremities. The head circumference was 25.5 cm, and the soft and flat anterior fontanel measured 2 x 2.5 cm. Normal breath sounds were heard over the lung fields. A grade 3/6 harsh . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Pediatrics (Dr Hoekelman) and Pathology (Dr Anderson), University of Rochester (NY) Medical Center.

Footnotes
Reprints not available.

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