Subject(s)
Brain Abscess , Enterobacteriaceae Infections , Infant, Newborn, Diseases , Meningitis , Brain Abscess/etiology , Brain Abscess/microbiology , Brain Abscess/pathology , Enterobacter/pathogenicity , Enterobacteriaceae Infections/complications , Enterobacteriaceae Infections/pathology , Humans , Infant, Newborn , Infant, Newborn, Diseases/microbiology , Infant, Newborn, Diseases/pathology , Male , Meningitis/complications , Meningitis/microbiology , Meningitis/pathologyABSTRACT
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Subject(s)
Humans , Male , Infant, Newborn , Brain Abscess/diagnosis , Meningitis, Bacterial/complications , Enterobacter/isolation & purification , Enterobacteriaceae Infections/complicationsABSTRACT
INTRODUCTION: Spinal cord injuries in newborn infants following a traumatic delivery are well known, but occasionally cord damage is appreciated in children whose birth did not involve any complications; in some of them there has been proof of an ischemic process that originated inside the uterus. CASE REPORT: We describe the case of a newborn female with atrophy of the cervical spinal cord compatible with an intrauterine ischemic infarct. It extended to the C4-C6 territory of the anterior spinal artery, with greater participation on the left side. Clinical symptoms were apparent from the moment of birth and took the form of an asymmetric pseudoarthrogryposis in the upper limbs. The left arm was held in abduction at the height of the shoulder, with complete flexion of the elbow and the hand at the height of the chin was hypotonic, inactive and hypotrophic; the right arm was extended and in adduction. The patient presented episodes of hyperthermia that remitted on cooling the body. CONCLUSIONS: When faced with a newborn infant with symptoms that are compatible with chronic cervical spinal cord damage and in the absence of any perinatal traumatic injury, other causes, including prenatal ischemic infarct, must be taken into account.
Subject(s)
Cervical Vertebrae , Infarction/complications , Prenatal Injuries , Spinal Cord Injuries , Spinal Cord Ischemia , Spinal Cord/pathology , Female , Humans , Infant , Infant, Newborn , Radiography , Spinal Cord/diagnostic imaging , Spinal Cord Injuries/diagnosis , Spinal Cord Injuries/etiology , Spinal Cord Injuries/pathology , Spinal Cord Ischemia/complications , Spinal Cord Ischemia/etiologyABSTRACT
Introducción. Las lesiones de la médula espinal del recién nacido tras un parto traumático son bien conocidas; pero, ocasionalmente, el daño medular se aprecia en niños nacidos tras un parto sin complicaciones; en algunos de ellos se ha podido demostrar un proceso isquémico de origen intrauterino. Caso clínico. Se describe el caso de una recién nacida con atrofia medular cervical compatible con un infarto isquémico intrauterino. Se extendía al territorio C4C6 de la arteria espinal anterior, con mayor participación izquierda. Clínicamente, se manifestó desde el nacimiento como una pseudoartrogriposis asimétrica de las extremidades superiores. Mantenía su brazo izquierdo en abducción a la altura del hombro, con flexión completa de codo y mano a la altura del mentón, hipotónica, inactiva e hipotrófica; el brazo derecho lo mantenía extendido y en aducto. Presentó episodios de hipertermia que remitían con enfriamiento corporal. Conclusión. Ante un recién nacido con sintomatología compatible con una lesión medular cervical crónica y en ausencia de traumatismo perinatal, se deben investigar otras causas, incluyendo el infarto isquémico prenatal (AU)
