Case 1: Apnea and Hypotonia in a 1-month-old Infant
| Autor: | Margaret K. Hoge, Diana Patricia Castro, Natasha W. Hanners, Noorjahan Ali, Jennifer Muncy Thomas |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Bradycardia
Male Pediatrics medicine.medical_specialty Neuromuscular disease Apnea medicine.medical_treatment Drooling Diagnosis Differential 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Intensive care medicine Diseases in Twins Humans 030212 general & internal medicine Cardiopulmonary resuscitation business.industry Infant Botulism Emergency department medicine.disease Hypotonia Pediatrics Perinatology and Child Health Intensive Care Neonatal Muscle Hypotonia medicine.symptom business |
| Zdroj: | NeoReviews. 20(10) |
| ISSN: | 1526-9906 |
| Popis: | A 33-day-old male twin presents with apnea. He was delivered at 34.3 weeks by a 30-year-old gravida 6 para 4, aborta 1 woman with negative serologic findings. Her prenatal course was complicated by maternal urinary tract infection treated with antibiotics. The neonate was delivered vaginally at 34.3 weeks and required a 12-day stay in the NICU to establish feedings before being sent home. During the week leading up to apnea at home, he was found to have congestion, increased drooling, and decreased stools. He was feeding less and required syringe feedings. On the day of presentation he was found to have apnea requiring cardiopulmonary resuscitation. He was brought to the children’s hospital emergency department. All other review of symptoms was negative. In the emergency department, the infant is noted to have global hypotonia with weak cry, diminished suck, and grasp reflexes. The rest of the examination findings are normal. He has another episode of apnea and bradycardia requiring intubation and admission to the NICU. During his NICU stay, he remains globally hypotonic with no purposeful movements or reflexes. Differential diagnosis for an infant with hypotonia is broad, including congenital myopathies, neuromuscular disease, metabolic disease, central nervous system disorders, connective tissue disease, and infection. During his NICU stay, he remained globally hypotonic with no purposeful movements or … |
| Databáze: | OpenAIRE |
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