Case 1: Periorbital Swelling and Conjunctivitis in a Preterm Infant
| Autor: | Josef Newman, Waleed Kurtom, Katherine Horan |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Gestational hypertension
medicine.medical_specialty Respiratory distress business.industry Obstetrics Prenatal care medicine.disease medicine.disease_cause Preeclampsia Sepsis 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Pediatrics Perinatology and Child Health 030221 ophthalmology & optometry medicine Gestation Medical history business Nasal cannula |
| Zdroj: | NeoReviews. 19:e610-e612 |
| ISSN: | 1526-9906 |
| DOI: | 10.1542/neo.19-10-e610 |
| Popis: | A preterm male infant is born at 34 weeks of gestation to a 30-year-old gravida 1, para 0 woman with no significant medical history and good prenatal care. The family medical history is not significant. Prenatal serologic tests for syphilis, human immunodeficiency virus, and hepatitis B are negative and rubella status is immune. She develops gestational hypertension for which she undergoes antepartum observation for 3 weeks. After her condition progresses to preeclampsia with severe features, the decision is made to induce delivery. She receives antenatal corticosteroids and magnesium sulfate before delivery, as well as 5 doses of ampicillin for unknown group B Streptococcus status. The infant had been depressed at birth, with postresuscitation Apgar scores of 1, 5, and 8 at 1, 5, and 10 minutes, respectively. He is noted to have respiratory distress secondary to mild respiratory distress syndrome, is given noninvasive positive pressure ventilation, and begins empiric treatment with ampicillin and gentamicin after a blood culture specimen is collected. Initial laboratory findings, including complete blood cell count and electrolytes, are unremarkable. After 2 days, he makes a transition to a simple nasal cannula with room air, and oral feeds are started. Antibiotics … |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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