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Radiology in Family Practice
M. Ranee Chattoraj, MD;
William Barson, MD;
Richard E. McClead, Jr, MD;
Beverly P. Wood, MD
Arch Fam Med. 1995;4(7):579-580.
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A5-DAY-OLD boy was transferred for evaluation of tachypnea and irritability. The child was delivered by cesarean section at 38 weeks' gestation to a 26-year-old woman. He weighed 3118 g at birth and had an Apgar score of 8/9 at 1 and 5 minutes.
The neonate ate normally and appeared healthy until the third day of life, when he became irritable. During the next 24 hours, he developed respiratory distress. Blood cultures, a lumbar puncture, and suprapubic bladder aspiration were performed. Because of a presumed diagnosis of sepsis, treatment was started with ampicillin sodium and gentamicin sulfate. On admission after transfer, the child's temperature (37.4°C), respiratory rate (110/min), and blood pressure were normal. His height, weight, and head circumference were between the 25th and 50th percentile. The neonate was irritable but consolable. Laboratory evaluation showed thrombocytopenia (platelets, 300x109/L). The chest and abdominal roentgenograms showed no abnormalities. On day 2, blood
. . . [Full Text PDF of this Article]
Author Affiliations
(Contributors); (Section Editor)
From the Department of Pediatrics, Ohio State University, Children's Hospital, Columbus.
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