We describe the effect on the neonate of administration of rituximab to a woman with idiopathic thrombocytopenic purpura (ITP). Rituximab, an anti-CD20 antibody, was given weekly for 4 weeks to a woman with ITP in her third trimester of pregnancy. One month after the last rituximab administration a healthy girl was born. She had normal growth and development during the first six months. At birt...

BACKGROUND Minimally invasive procedures are performed in neonates for an ever-expanding list of congenital anomalies. The laparoscopic repair of duodenal atresia and stenosis in the neonate is one such indication. METHOD We report our experience with the laparoscopic duodenoduodenostomy for duodenal atresia and stenosis in the neonate over the past 4 years. A retrospective chart review was c...

A case of paroxysmal supraventricular tachycardia with Wolff-ParkinsonWhite syndrome in an Indonesian neonate born in the Departement of Obste­ trics, Dr. Hasan Sadikin General Hospital, Bandung, is reported. Tachycardia in the neonate was first noted at the iige of 6 days, but the heart rale gradually decreased in 8 hours after oxygen was administered. Electrocardiographic exa­ mination reveal...

Epididymal abscess, epididymo-orchitis, infected hydroceles, and testicular torsion are all rare in a neonate. The practice of exploring an acute scrotum in this patient population remains controversial. Here we describe a case of an unusual presentation of an epididymal abscess that mimics testicular torsion, in hopes of presenting the appropriate evaluation of torsion, and affirming the decis...

BACKGROUND Perinatal asphyxia is known to precipitate myocardial dysfunction, rhythm abnormalities and congestive cardiac failure. CASE CHARACTERISTICS A 2-day old neonate with perinatal asphyxia. OBSERVATION He developed shock secondary to ventricular tachycardia, and required synchronized cardioversion for reversion of abnormal rhythm. OUTCOME Reversal of arrhythmia leading to recovery....

We are reporting here, a case of the Lenz syndrome in a neonate who was brought to the Paediatric OPD, Kasturba Medical College Hospital, Attavar, Mangalore India, with the complaints of poor suckling since birth and abnormal facial features. Altogether, the characteristic congenital abnormal findings in Lenz syndrome, which comprise of microophthalmia, ear anomalies, microcephaly, skeletal and...

This case report describes a rare differential diagnosis of soft-tissue infection in a neonate. Fever, pain, inflammation, and acute tenderness in the limb of a neonate signify acute infection or osteomyelitis unless proved otherwise. Iatrogenic calcinosis cutis presents with similar symptoms and signs; its diagnosis may be easily confused with an infective condition by an unwary orthopaedic su...

Background In breast-fed neonates, hypernatremia may occur from inadequate breast milk production, central or nephrogenic diabetes insipidus, gastroenteritis, or salt poisoning. Hypernatremic dehydration is a known risk factor for cerebral sinus thrombosis and death. We report a breastfed neonate with hypernatremic dehydration, diabetes insipidus, cerebral sinus thrombosis, and disseminated int...

The known measurements for the determination of body proportions cannot be used practically in the neonate. The ratio of crown-rump distance to total length appears the most useful index for objective evaluation of disorders that influence body proportions in the neonate. Normal standards for this ratio in newborn infants from 27 to 41 weeks' gestation are presented in relation to gestational a...

Congenital herniation of the umbilical cord (CHUC) is a rare anomaly due to incomplete closure of umbilical ring and is different from abdominal wall defects. Intestinal atresias have been reported as a common associated anomaly. We herein present two cases hernia of umbilical cord associated with non-gastrointestinal anomalies. In one neonate, cleft lip and palate, PVID along with G6PD deficie...