RESUMO
The diagnosis of a right atrial mass in a neonate should be treated as an emergency. There are three major differential diagnoses for a right atrial mass-thrombus, infectious vegetation, and myxoma. Embolization of the mass can result in life-threatening complications and hence timely diagnosis and treatment is vital. This case series describes the clinical course, management, and outcome of four neonates who presented with a right atrial mass.
Assuntos
Cardiopatias , Mixoma , Trombose , Diagnóstico Diferencial , Átrios do Coração/diagnóstico por imagem , Humanos , Recém-Nascido , Mixoma/diagnóstico , Trombose/diagnósticoAssuntos
Hidropisia Fetal/diagnóstico , Icterícia/diagnóstico , Lúpus Eritematoso Sistêmico/congênito , Pancitopenia/diagnóstico , Diagnóstico Tardio , Diagnóstico Diferencial , Feminino , Humanos , Hidropisia Fetal/terapia , Lactente , Recém-Nascido , Recém-Nascido Prematuro , Icterícia/complicações , Icterícia/terapia , Lúpus Eritematoso Sistêmico/complicações , Lúpus Eritematoso Sistêmico/diagnóstico , Lúpus Eritematoso Sistêmico/terapia , Pancitopenia/complicações , Pancitopenia/terapiaRESUMO
A late preterm male infant of 36 weeks gestation and a birth weight of 2100 g was admitted on day 35 of life with complaints of respiratory distress and lethargy. He was diagnosed as a case of sepsis screen positive culture negative sepsis and was managed with respiratory support and intravenous antibiotics for 10 days. The infant improved clinically and was on spoon feeds by day 14 of admission. On day 14 of admission, he developed new-onset respiratory distress and was diagnosed as a case of nosocomial pneumonia based on chest radiography findings. The blood culture grew a rare organism Cedecea lapagei and a diagnosis of sepsis was also made. The antibiotics were tailored as per the blood culture sensitivity pattern and the infant had clinical improvement in the next 72 hours.
Assuntos
Antibacterianos/uso terapêutico , Infecções por Enterobacteriaceae/diagnóstico , Enterobacteriaceae/isolamento & purificação , Combinação Piperacilina e Tazobactam/uso terapêutico , Respiração Artificial , Síndrome do Desconforto Respiratório do Recém-Nascido/microbiologia , Sepse/diagnóstico , Enterobacteriaceae/classificação , Infecções por Enterobacteriaceae/tratamento farmacológico , Infecções por Enterobacteriaceae/fisiopatologia , Humanos , Lactente , Letargia , Masculino , Respiração Artificial/efeitos adversos , Síndrome do Desconforto Respiratório do Recém-Nascido/tratamento farmacológico , Síndrome do Desconforto Respiratório do Recém-Nascido/fisiopatologia , Sepse/tratamento farmacológico , Punção Espinal , Resultado do TratamentoRESUMO
A 37-week, 2700 g vaginally delivered baby was admitted for respiratory distress which was attributed to transient tachypnoea of newborn. A clinical finding of glandular hypospadias with ventral chordee was detected. The penis was normal in size, and gonads were palpable bilaterally in the scrotal sac. The parents were informed of the good prognosis associated with this milder variety of hypospadias. In view of parental concerns, a fluorescent in situ hybridisation (FISH) for X and Y chromosome was performed. Surprisingly, FISH revealed the presence of 46, XY in 90% of cells and 46, XX in 10% of the remainder cells suggesting a diagnosis of chimerism.
