ABSTRACT
The case is reported of a dizygotic twin infant of a diabetic mother with transient hypertrophic cardiomyopathy. The clinical course and eco-ecg reports are described. The etiopathogenesis is discussed since no evidence of cardiomyopathy was found in the second twin. The importance of a timely diagnosis for a correct therapy is emphasized.
Subject(s)
Cardiomyopathy, Hypertrophic/congenital , Diseases in Twins , Pregnancy in Diabetics , Cardiomyopathy, Hypertrophic/diagnostic imaging , Cardiomyopathy, Hypertrophic/physiopathology , Electrocardiography , Female , Humans , Infant, Newborn , Pregnancy , Twins, Dizygotic , UltrasonographyABSTRACT
Three cases of neonatal adrenal hemorrhage are described. They presented different clinical findings. Ultrasonography was the investigation of choice. It showed different initial patterns: anechoic in one case, hyperechoic in the others. The literature is reviewed. Usefulness of echography in the diagnosis of adrenal hemorrhage is stressed.
Subject(s)
Adrenal Gland Diseases/diagnostic imaging , Hemorrhage/diagnostic imaging , Diagnosis, Differential , Humans , Infant, Newborn , Infant, Premature , Infant, Premature, Diseases/diagnostic imaging , Male , UltrasonographyABSTRACT
In a retrospective study on heart murmurs in healthy newborns we reviewed data concerning all newborns admitted in our nursery in the year 1990 (1387 newborns: male 699, female 688). An heart murmur was recorded in 106 (7.6%); in 32 of these (30%) the murmur was still audible at discharge; in 18 cases (17%) a congenital heart defect was diagnosed. Our data suggest that time of onset and intensity are valuable data for diagnostic approach, as murmurs recorded after the first day of life, and/or of intensity of 2/6 or more, are more likely to be expression of a congenital heart disease and should be further evaluated.
Subject(s)
Heart Defects, Congenital/diagnosis , Heart Murmurs , Age Factors , Cohort Studies , Diagnosis, Differential , Female , Heart Defects, Congenital/epidemiology , Humans , Infant, Newborn , Male , Nurseries, Infant , PrognosisABSTRACT
As the frequency of Rh isoimmunization is declining, nonimmune fetal hydrops is becoming the predominant form of hydrops. Authors report a case of hydrops secondary to congenital heart disease and briefly discuss the physiopathology of such condition.
Subject(s)
Heart Defects, Congenital/complications , Hydrops Fetalis/etiology , Heart Defects, Congenital/diagnosis , Heart Defects, Congenital/physiopathology , Humans , Hydrops Fetalis/diagnosis , Hydrops Fetalis/physiopathology , Infant, Newborn , MaleABSTRACT
A case of congenital cytomegalovirus infection is reported and its clinical and diagnostic problems are considered. Perinatal and intrauterine transmission of CMV is discussed.