RESUMO
The authors present the case of a newborn of an Rh-factor sensitized mother, who received early hospital discharge while icteric only to be readmitted at an Emergency Service at five days of age with signs of kernicterus. Despite treatment given, the neonate progressed with a clinical picture of bilirubin encephalopathy. Thelack of interaction between the obstetric and neonatal teams, premature hospital discharge, and lack of concern of neonatologists with jaundice in a full-term infant are highlighted as causes of acondition that should have disappeared if there had been adequate prevention.
Os autores apresentam o caso de um recém-nascido cuja mãe apresentava sensibilização ao fator Rh, que teve alta precoce da maternidade, ictérico, e que voltou a um pronto-socorro para ser novamente internado, aos 5 dias de vida, com sinais de kernicterus.Apesar da terapêutica instituída, evoluiu com quadro de encefalopatia bilirrubínica. Merecem atenção a falta de interação entre as equipes obstétrica e neonatal, a alta precoce e a falta de preocupação dos neonatologistas com a icterícia em recém-nascido de termo como causas de uma afecção que deveria ter desaparecido por existir prevenção adequada.
Assuntos
Incompatibilidade de Grupos Sanguíneos , Icterícia NeonatalRESUMO
The authors present the case of a newborn of an Rh-factorsensitized mother, who received early hospital discharge while icteric only to be readmitted at an Emergency Service at five days of age with signs of kernicterus. Despite treatment given, the neonate progressed with a clinical picture of bilirubin encephalopathy. The lack of interaction between the obstetric and neonatal teams, premature hospital discharge, and lack of concern of neonatologists with jaundice in a full-term infant are highlighted as causes of a condition that should have disappeared if there had been adequate prevention.
